Preoperative chemoradiotherapy in rectal cancer experience in 76 patients

被引:0
作者
Bannura C, Guillermo [1 ,2 ]
Barrera E, Alejandro [1 ,2 ]
Melo L, Carlos [1 ,2 ]
Contreras P, Jaime [1 ,2 ]
Soto C, Daniel [1 ,2 ]
机构
[1] Univ Chile, Hosp Clin San Borja Arriaran, Fac Med, Campus Ctr,Serv Cirugia, Santiago, Chile
[2] Univ Chile, Hosp Clin San Borja Arriaran, Fac Med, Campus Ctr,Dept Cirugia, Santiago, Chile
来源
REVISTA CHILENA DE CIRUGIA | 2010年 / 62卷 / 06期
关键词
Rectal cancer; chemotherapy; radiotherapy; NEOADJUVANT CHEMORADIATION; TUMOR RESPONSE; RADIATION; RADIOCHEMOTHERAPY; RADIOTHERAPY; CARCINOMA; STAGE;
D O I
暂无
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background Preoperative chemoradiotherapy is helpful as an adjuvant treatment for locally advanced rectal carcinoma Aim To report the results of a prospective series of patients with rectal carcinoma treated with chemoradiotherapy and surgical excision Material and Methods Seventy six patients aged 28 to 84 years (51% women), with locally advanced rectal cancer (T3-T4 or N+) subjected to curative surgery and treated with radiotherapy and 5 fluoruracil with leucovorin, were included in this series Results Mean hospital stay was 12 5 +/- 7 2 days, 37% had Operative complications and no patient died The downstaging effect was more marked for local invasion than for lymph node involvement In 21% of cases, a complete pathological response was achieved and no patient has had a relapse during a 59 months follow up Conclusions Among patients with rectal cancer, preoperative chemoradiotherapy does not increase surgical complications and has a marked impact in tumor downstaging
引用
收藏
页码:607 / 613
页数:7
相关论文
共 28 条
[1]   Mortality and morbidity after surgery of mid and low rectal cancer - Results of a French prospective multicentric study [J].
Alves, A ;
Panis, Y ;
Mathieu, P ;
Kwiatkowski, F ;
Slim, K ;
Mantion, G .
GASTROENTEROLOGIE CLINIQUE ET BIOLOGIQUE, 2005, 29 (05) :509-514
[2]  
[Anonymous], 1997, American Joint Committee on Cancer. AJCC Cancer Staging Manual
[3]  
BANNURA C GUILLERMO, 2008, Rev Chil Cir, V60, P320, DOI 10.4067/S0718-40262008000400010
[4]  
BANNURA G, 1998, REV CHIL CIR, V50, P646
[5]   Rectal cancer: Local staging and assessment of lymph node involvement with endoluminal US, CT, and MR imaging - A meta-analysis [J].
Bipat, S ;
Glas, AS ;
Slors, FJM ;
Zwinderman, AH ;
Bossuyt, PMM ;
Stoker, J .
RADIOLOGY, 2004, 232 (03) :773-783
[6]   Preoperative radiotherapy for resectable rectal cancer -: A meta-analysis [J].
Cammà, C ;
Giunta, M ;
Fiorica, F ;
Pagliaro, L ;
Craxì, A ;
Cottone, M .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2000, 284 (08) :1008-1015
[7]   Preoperative chemoradiation versus radiation alone for stage II and III resectable rectal cancer: A systematic review and meta-analysis [J].
Ceelen, Wim ;
Fierens, Kjell ;
Van Nieuwenhove, Yves ;
Pattyn, Piet .
INTERNATIONAL JOURNAL OF CANCER, 2009, 124 (12) :2966-2972
[8]   Predictors of tumor response and downstaging in patients who receive preoperative chemoradiation for rectal cancer [J].
Das, Prajnan ;
Skibber, John M. ;
Rodriguez-Bigas, Miguel A. ;
Feig, Barry W. ;
Chang, George J. ;
Wolff, Robert A. ;
Eng, Cathy ;
Krishnan, Sunil ;
Jarl, Nora A. ;
Crane, Christopher H. .
CANCER, 2007, 109 (09) :1750-1755
[9]  
de Bruin AFJ, 2008, NETH J MED, V66, P71
[10]  
ESCALONA A, 2003, REV CHIL CIR, V55, P55