The authors analyse their own cases of recurrence after operation for rectosigmoid cancer with radical intent, determining in every patient the primary site of the recurrence, explaining the essential clinical manifestations and the real therapeutic possibilities. Dates show the extraluminal perianastomotic origin of the recurrence and the adequacy of the intestinal resection. They single out in the insufficient removal of the mesorectum and of the pelvic cellular the most frequent cause of recurrence. The analysis of clinical symptoms shows how the pelvic-perineal 'burning' pain in the absence of other clinical signs is the most important symptom of local recurrence. They conifrm that instrumental diagnosis arrives/late, with the condition by now in advanced phase, excluding terapeutic possibilities. They observe how the best results either in quantity or in quality have been obtained through the treatment of the recurrence after amputation. This, indeed, permits a longer time disease free and early diagnosis, show easier surgical approach and allow a better survival and quality of life. They conclude confirming the importance Miles's procedure in the treatment of the low rectal cancer especially in C state.
|Translated title of the contribution||Rectosigmoid cancer recurrence: Diagnostic and therapeutical remarks|
|Number of pages||5|
|Publication status||Published - 1994|
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