DIAGNOSTIC AND TREATMENT OPTIONS IN PATIENTS WITH LOCALLY RECURRENT RECTAL CANCER
MEHMET ÇAĞLIKÜLEKÇİ, SEZAİ YILMAZ, GÜREL NEŞŞAR, VEDAT KIRIMLIOĞLU, MUSA AKOĞLU, CÜNEYT KAYAALP
Türkiye Yüksek İhtisas Hastanesi, Gastroenteroloji Cerrahisi Kliniği, ANKARA
This study is a retrospective review of the diagnosis and management nineteen patients presenting with local recurrent rectal cancer at a single institution during on a 5 year period. Local recurrence developed in 19 patients, at a median interval of 17 (range 4-28) months after curative surgery. In nine patients CEA level was above 500 mg/ml. Low-anterior resection were performed in 13 patients, abdominoperineal resection in 6 patients. Recurrent rectal cancer carries an extremely poor prognosis with a median survival time of seven months. In appropriately selected cases, surgical therapy wherever possible, produces disease-free survival in patients recurrent rectal cancer.
Keywords: CANCER, LOCAL RECURRENT RECTUM CANCER