title: Oncologic outcomes and proper surveillance after local excision of rectal cancer.
abstract: OBJECTIVE
  The aim of this study was to analyze oncologic outcomes after transanal local excision (LE) to ensure adequate surveillance of recurrence in order to treat with curative intent.
  
  
  METHODS
  Between January 2000 and June 2009, 102 patients who underwent transanal LE for rectal adenocarcinoma were retrospectively reviewed.
  
  
  RESULTS
  Of the 102 patients, 53 (52.0%) were male. The mean age was 57 ± 11 years. Postoperative pathologic examination revealed 93 cases (91.2%) of pathologic T stage (pT)1 and 9 cases (8.8%) of pT2. Forty-eight patients (47.1%) underwent adjuvant postoperative radiotherapy. The median follow-up interval was 60 months (range, 3 to 146 months). Seven (6.9%) out of 15 patients who suffered recurrence had locoregional recurrence, three (2.9%) had systemic recurrence and five (4.9%) had both systemic and locoregional recurrence. The latter five patients and two of the three patients with systemic recurrence died because of the disease recurrence. On the other hand, only one of the seven patients with locoregional recurrence died because of disease recurrence.
  
  
  CONCLUSIONS
  Systemic recurrence after transanal LE results in fatal consequences. Therefore, not only is it important to identify ideal candidates for LE, but intensive postoperative surveillance is important as well to identify curable recurrence as soon as possible.
authors: Department of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
authors: Yeong Cheol
authors: YC
authors: Im
authors: Chan Wook
authors: CW
authors: Kim
authors: Sunyoung
authors: S
authors: Park
authors: Jin Cheon
authors: JC
authors: Kim
keywords: Local excision; Rectal neoplasms
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