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Clinico-pathological Study of Rectal Cancer, Especially in Relation to the Results of Surgical Treatment

山口医学 Volume 35 Issue 2 Page 69-80
published_at 1986-04
Title
直腸癌の臨床病理学的検討, 特に外科的治療成績との関連
Clinico-pathological Study of Rectal Cancer, Especially in Relation to the Results of Surgical Treatment
Creators Furuya Takumi
Source Identifiers
Extensions of current surgical approaches to rectal cancer have not satisfactorily improved the rate of survival. In order to refine prognostic factors for rectal cancer, 164 patients who underwent surgery for these 15 years were reviewed with the statistical techniques of multivariate analysis. Amputation of the rectum was performed in 118 patients and sphinctersaving operations were performed in 38 patients and in 8 patients the tumor was not resected. Mean age was 60.1 y.o. and 98 were male, 66 were female. The five-year-survival rate of the patients who had undergone curative resection for last 8 years was 62.4%, while for the past the rate was 45.1%. With the use of prognostic factors for rectal cancer, such as, depth of penetration, involvement of lymph node, lymphatic invasion, histological grade, proportion of intestinal circumference involved and location of the tumor. It was concluded that depth of penetration and involvement of lymph node were very important factors. The postoperative disturbances of genito-urinary functions were also investigated. The discriminant point divided the patients into two prognostic groups, and multidisciplinary treatment was made for the group of high risk factor of recurrence.
Subjects
医学 ( Other)
Languages jpn
Resource Type journal article
Publishers 山口大学医学会
Date Issued 1986-04
File Version Not Applicable (or Unknown)
Access Rights metadata only access
Relations
[ISSN]0513-1731
[NCID]AN00243156
Schools 医学部