J Korean Surg Soc.  2013 Feb;84(2):94-100. 10.4174/jkss.2013.84.2.94.

Oncologic outcomes and proper surveillance after local excision of rectal cancer

• Im YC
• Kim CW
• Park S
• Kim JC

• KMID: 2144996
• DOI: http://doi.org/10.4174/jkss.2013.84.2.94

Abstract

PURPOSE
The aim of this study was to analyze oncologic outcomes after transanal local excision (LE) to ensure adequate surveillance of recurrence in order to treat with curative intent.
METHODS
Between January 2000 and June 2009, 102 patients who underwent transanal LE for rectal adenocarcinoma were retrospectively reviewed.
RESULTS
Of the 102 patients, 53 (52.0%) were male. The mean age was 57 +/- 11 years. Postoperative pathologic examination revealed 93 cases (91.2%) of pathologic T stage (pT)1 and 9 cases (8.8%) of pT2. Forty-eight patients (47.1%) underwent adjuvant postoperative radiotherapy. The median follow-up interval was 60 months (range, 3 to 146 months). Seven (6.9%) out of 15 patients who suffered recurrence had locoregional recurrence, three (2.9%) had systemic recurrence and five (4.9%) had both systemic and locoregional recurrence. The latter five patients and two of the three patients with systemic recurrence died because of the disease recurrence. On the other hand, only one of the seven patients with locoregional recurrence died because of disease recurrence.
CONCLUSION
Systemic recurrence after transanal LE results in fatal consequences. Therefore, not only is it important to identify ideal candidates for LE, but intensive postoperative surveillance is important as well to identify curable recurrence as soon as possible.

Keyword

Rectal neoplasms; Local excision

MeSH Terms

Adenocarcinoma
Dietary Sucrose
Follow-Up Studies
Hand
Humans
Male
Rectal Neoplasms
Recurrence
Retrospective Studies
Dietary Sucrose

Figure

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  Fig. 1 Disease-free survival curves with and without adjuvant radiotherapy.

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