Local recurrence represents the main cause of cancer-related mortality in patients operated on for rectal cancer. Its incidence varies from 12 to 32% being higher within 24-36 months after the primary operation. 68 patients operated on for rectal cancer by low or very low anterior resection, underwent an intensive follow-up study with pelvic TC and endorectal ultrasound. The incidence of local recurrence was 19% (13 out of 68). As a result of the early diagnosis in 5 of the 13 patients affected by local recurrence a reoperation was performed. At present 2 patients out of 5 are alive and disease-free; 2 patients are alive with a further recurrence; one patient died postoperatively. Although an intensive follow-up with pelvic CAT scan and endorectal ultrasound has surely increased the chances of early diagnosis of local recurrence from rectal cancer and subsequently the percentage of recurrence resectability, the results in term of survival still remain controversial. It can be concluded that prophylaxis is the best treatment for local recurrence of rectal cancer and further efforts are needed to optimize the surgical strategy when dealing with the primary operation.
|Number of pages||4|
|Publication status||Published - 1989|
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