Yuan HY, Li Y, Yang GL, Bei DJ, Wang K. Study on the causes of local recurrence of rectal cancer after curative resection: analysis of 213 cases. World J Gastroenterol 1998; 4(6): 527-529 [PMID: 11819362 DOI: 10.3748/wjg.v4.i6.527]
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Dr. Hong-Yin Yuan, Department of Oncology, the Second Affiliated Hospital of Hubei Medical University, Wuhan 430071, Hubei Province, China
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World J Gastroenterol. Dec 15, 1998; 4(6): 527-529 Published online Dec 15, 1998. doi: 10.3748/wjg.v4.i6.527
Study on the causes of local recurrence of rectal cancer after curative resection: analysis of 213 cases
Hong-Yin Yuan, Yan Li, Guo-Liang Yang, De-Jiao Bei, Kun Wang
Hong-Yin Yuan, Yan Li, Guo-Liang Yang, De-Jiao Bei, Kun Wang, Department of Oncology, the Second Affiliated Hospital of Hubei Medical University, Wuhan 430071, Hubei Province, China
Hong-Yin Yuan, male, born on 1945-10-08 in Hanyang County, Hubei Province, graduated in 1965 from the Department of Clinical Medicine, Hubei Medical University as an undergraduate, now associate professor of oncology, director of the Department of Oncology, majoring general oncological surgery, having 30 papers published.
Author contributions: All authors contributed equally to the work.
Correspondence to: Dr. Hong-Yin Yuan, Department of Oncology, the Second Affiliated Hospital of Hubei Medical University, Wuhan 430071, Hubei Province, China
Telephone: +86-27-87317779
Received: June 6, 1998 Revised: September 20, 1998 Accepted: November 12, 1998 Published online: December 15, 1998
Abstract
AIM: To study the local recurrent rate and the causes of rectal cancer after surgery.
METHODS: The clinicopathological data of 213 rectal cancer patients and the follow-up information were analyzed. The overall recurrent rate and the recurrent rates from different surgical appreaches were calculated. The main causes of recurrence were investigated.
RESULTS: Among the 213 cases, 73 (34.27%) had local recurrence. The recurrent time ranged from 3 months to 62 months after the first operation. Most of the recurrence (65/73, 89.04%) occurred within 3 years after operation.
CONCLUSION: Local recurrence had no significant correlation with surgical methods or pathological types, but closely related to Dukes’ stages, location of primary tumors and the length of the distal rectum resected. Early resection and a wide tumor free resection margin are key factors to prevent local recurrence.
