Evidence map›Paper›PMID 42683411›Full record

ArticleCancer diagnosis & prognosis

Prognostic Impact of Recurrence Location in Locally Recurrent Rectal Cancer: A Single-Center Retrospective Study.

Sho Nambara, Koji Ando, Tetsuro Kawazoe, Shotaro Korehisa, Yasuo Tsuda, Tomonori Nakanoko, Eiji Oki, Tomoharu Yoshizumi

Abstract read
In one paragraph

Article in Cancer diagnosis & prognosis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Sho NambaraDepartment of Surgery and Science, Graduate School of Medical Science, Kyushu University, Fukuoka, Japan.
Koji AndoDepartment of Surgery and Science, Graduate School of Medical Science, Kyushu University, Fukuoka, Japan.
Tetsuro KawazoeDepartment of Surgery and Science, Graduate School of Medical Science, Kyushu University, Fukuoka, Japan.
Shotaro KorehisaDepartment of Surgery and Science, Graduate School of Medical Science, Kyushu University, Fukuoka, Japan.
Yasuo TsudaDepartment of Surgery and Science, Graduate School of Medical Science, Kyushu University, Fukuoka, Japan.
Tomonori NakanokoDepartment of Surgery and Science, Graduate School of Medical Science, Kyushu University, Fukuoka, Japan.
Eiji OkiDepartment of Advanced Medicine and Innovative Technology, Kyushu University Hospital, Fukuoka, Japan.
Tomoharu YoshizumiDepartment of Surgery and Science, Graduate School of Medical Science, Kyushu University, Fukuoka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Aim: Locally recurrent rectal cancer (LRRC) remains challenging, and optimal treatment strategies vary by recurrence location. We retrospectively evaluated treatment patterns and outcomes of LRRC without distant metastasis, focusing on the Memorial Sloan Kettering Cancer Center (MSKCC) pelvic compartment classification. Patients and Methods: We retrospectively analyzed 20 patients with LRRC without distant metastasis treated at our institution between 2005 and 2025. Recurrence sites were categorized as axial, anterior, posterior, or lateral according to the MSKCC classification. Treatment modalities, resection margin status, perioperative outcomes, and survival were analyzed. Results: The median interval from primary tumor resection to LRRC diagnosis was 30 months. Ten patients had axial recurrence, two anterior, two posterior, and six lateral recurrence. Seventeen patients underwent surgery (surgery alone, n=8; preoperative therapy plus surgery, n=9), while three patients received nonsurgical management; all nonsurgical cases were lateral recurrence. Median blood loss, operative time, and postoperative length of stay among surgical cases were 592 ml, 477 min, and 29 days, respectively. Major postoperative morbidity (Clavien-Dindo ≥IIIb) occurred in one axial patient (bladder injury). R1 and R2 resections were observed in four (23.6%) and one (5.9%) surgical cases, respectively. Posterior (2/2) and lateral (3/6) recurrences more frequently required preoperative therapy and showed a high rate of re-recurrence. When grouped as axial/anterior Conclusion: MSKCC-based location stratification may be clinically useful for LRRC treatment. Posterior and lateral recurrences were associated with poor outcomes even after surgery, suggesting the need for careful patient selection and consideration of alternative or intensified multimodal strategies.

Indexed as

Locally recurrent rectal cancerpelvic compartment classificationrecurrence location

Identifiers

PMID42683411
PMCPMC13531642

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.