Management of Recurrent Rectal Cancer

In an effort to treat the difficult problem of recurrent rectal cancer more successfully, we embarked on an aggressive therapeutic course involving a combination of field irradiation, surgical debulking, and intraoperative radiation therapy. On the basis of our study of 24 patients treated with this...

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Bibliographic Details
Published in:Mayo Clinic proceedings 1986-06, Vol.61 (6), p.448-450
Main Authors: BEART, ROBERT W., MARTIN, J. KIRK, GUNDERSON, LEONARD L.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Combined Modality Therapy
Follow-Up Studies
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Intraoperative Care
Medical sciences
Neoplasm Recurrence, Local - mortality
Neoplasm Recurrence, Local - radiotherapy
Neoplasm Recurrence, Local - surgery
Neoplasm Recurrence, Local - therapy
Preoperative Care
Radiotherapy, High-Energy
Rectal Neoplasms - mortality
Rectal Neoplasms - radiotherapy
Rectal Neoplasms - surgery
Rectal Neoplasms - therapy
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Tumors
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Summary:In an effort to treat the difficult problem of recurrent rectal cancer more successfully, we embarked on an aggressive therapeutic course involving a combination of field irradiation, surgical debulking, and intraoperative radiation therapy. On the basis of our study of 24 patients treated with this regimen, we estimated the local effectiveness to be as high as 85%. Prolonged survival was achieved in 67% of our patients.
ISSN:0025-6196
1942-5546
DOI:10.1016/S0025-6196(12)61979-X