Evidence map›Paper›PMID 18720544›Full record

ArticleWorld journal of gastroenterology2008

Risk factors for local recurrence of middle and lower rectal carcinoma after curative resection.

Ze-Yu Wu, Jin Wan, Gang Zhao, Lin Peng, Jia-Lin Du, Yuan Yao, Quan-Fang Liu, Hua-Huan Lin

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Article in World journal of gastroenterology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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5 citing papers in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

Ze-Yu WuDepartment of General Surgery, Guangdong Provincial People's Hospital, Guangzhou 510080, Guangdong Province, China.
Jin Wan
Gang Zhao
Lin Peng
Jia-Lin Du
Yuan Yao
Quan-Fang Liu
Hua-Huan Lin

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo explore the risk factors for local recurrence of middle and lower rectal carcinoma after curative resection.

methodsSpecimens of middle and lower rectal carcinoma from 56 patients who received curative resection at the Department of General Surgery of Guangdong Provincial People's Hospital were studied. A large slice technique was used to detect mesorectal metastasis and evaluate circumferential resection margin status. The relations between clinicopathologic characteristics, mesorectal metastasis and circumferential resection margin status were identified in patients with local recurrence of middle and lower rectal carcinoma.

resultsLocal recurrence of middle and lower rectal carcinoma after curative resection occurred in 7 of the 56 patients (12.5%), and was significantly associated with family history (c2=3.929, P=0.047), high CEA level (c2=4.964, P=0.026), cancerous perforation (c2=8.503, P=0.004), tumor differentiation (c2=9.315, P=0.009) and vessel cancerous emboli (c2=11.879, P=0.001). In contrast, no significant correlation was found between local recurrence of rectal carcinoma and other variables such as age (c2=0.506, P=0.477), gender (c2=0.102, c2=0.749), tumor diameter (c2=0.421, P=0.516), tumor infiltration (c2=5.052, P=0.168), depth of tumor invasion (c2=4.588, P=0.101), lymph node metastases (c2=3.688, P=0.055) and TNM staging system (c2=3.765, P=0.152). The local recurrence rate of middle and lower rectal carcinoma was 33.3% (4/12) in patients with positive circumferential resection margin and 6.8% (3/44) in those with negative circumferential resection margin. There was a significant difference between the two groups (c2=6.061, P=0.014). Local recurrence of rectal carcinoma occurred in 6 of 36 patients (16.7%) with mesorectal metastasis, and in 1 of 20 patients (5.0%) without mesorectal metastasis. However, there was no significant difference between the two groups (c2=1.600, P=0.206).

conclusionFamily history, high CEA level, cancerous perforation, tumor differentiation, vessel cancerous emboli and circumferential resection margin status are the significant risk factors for local recurrence of middle and lower rectal carcinoma after curative resection. Local recurrence may be more frequent in patients with mesorectal metastasis than in patients without mesorectal metastasis.

Indexed as

Digestive System Surgical ProceduresNeoplasm Recurrence, LocalAdultAgedAged, 80 and overCarcinoembryonic AntigenCarcinomaCell DifferentiationFemaleHumansMaleMiddle AgedNeoplasm InvasivenessPedigreeRectal NeoplasmsRisk FactorsCarcinoembryonic Antigen

Identifiers

PMID18720544
PMCPMC2739345

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