Local recurrence of rectal carcinoma: diagnosis and treatment
10.3760/cma.j.issn.1673-4203.2009.11.024
- VernacularTitle:直肠癌术后复发的诊断和治疗
- Author:
Xianhua GAO
;
Wei ZHANG
- Publication Type:Journal Article
- Keywords:
rectal neoplasm;
prognosis
- From:
International Journal of Surgery
2009;36(11):789-792
- CountryChina
- Language:Chinese
-
Abstract:
Rectal carcinoma is a common malignant tumor in China. Although it decreased greatly after the introduction of total mesorectal excision and preoperative radiotherapy, the local recurrence rate of rectal carcinoma after curative surgery is still up to 11.3%. Surgery is the most effective treatment for local recurrence of rectal carcinoma. If excised radically, the five-year survival of patients with rectal carcinoma could be more than 35%. Only a few patients will benefit from ex-tended radical surgery because of its extremely high postoperative morbidity and mortality. Strict selection of patients by mul-tiple preoperative examinations makes extended radical surgery more reasonable. For the unresectable advanced recurrent rectal carcinoma, multimodality palliative therapy could lead to symptom relief, elevated quality of life and prolonged surviv-al. We discuss the diagnosis and treatment of recurrent rectal carcinoma in this review.
