ISSN:0012-3706    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

&NA;Nineteen patients with squamous‐cell cancer of the anal canal have been treated with combined chemotherapy and radiation therapy, followed by appropriate surgery. The authors are convinced that the combined therapy is effective enough to avoid abdominoperineal resection if disappearance of the lesion is proven by adequate examination and biopsy. Although they believe cancers 5 cm or less in maximum diameter are generally adequately managed in this manner, experience is still too limited to justify, a recommendation, to change currently accepted management.

ISSN:0012-3706    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

&NA;Sixty‐two patients with carcinoma of the rectum were treated with “selective sandwich” adjuvant radiotherapy in a pilot study which began in September 1976 at Thomas Jefferson University Hospital. All patients received 500 rads preoperative irradiation on the day of or day preceding surgery. Following surgery, the lesions were staged pathologically according to Astler‐Coller's modification of Dukes' staging. Patients with poor prognostic characteristics (Stages B2, C1, and C2) were treated with aggressive postoperative pelvic irradiation (4500 rads in five weeks). All 62 patients received the single preoperative dose of 500 rads. Forty‐four patients underwent abdominoperineal resection, four patients, a low anterior resection, ten patients, a combined abdominotranssacral resection, and four patients found to have liver metastasis at laparotomy had colostomy followed by palliative therapy.Twenty‐one patients found to have early disease (Stages A or B1) were given no further therapy. Of 37 patients with Stages B2or C disease, 21 received postoperative irradiation. Follow‐up ranged from 6 months to 36 months, with a median of 18 months. Of patients with Stage A or B1disease, one patient has died with metastasis. Two of 21 patients receiving postoperative irradiation have developed metastatic disease; neither has failed in the pelvis. Of 16 patients who did not receive postoperative irradiation, three have had metastasis to the pelvis and two others have developed distant metastasis

ISSN:0012-3706    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

&NA;Cases are reviewed of 12 patients who had abdominoperineal resections for cancer recurrence subsequent to anterior resection. Although this procedure is technically more difficult, we experienced no mortality or significant morbidity, and the postoperative hospital stay was similar to that of patients who received an abdominoperineal resection as a primary procedure. Although we have no long‐term cures, at least significant palliation can be achieved in selected patients who have no evidence of distant metastases

ISSN:0012-3706    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

&NA;A case is reported in which a colonic hemangioma was successfully removed endoscopically. The authors recommend that the colonoscopist be skilled and use the technique only for polypoid lesions

ISSN:0012-3706    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

&NA;During a 25‐year period 24 patients were treated for complete rectal prolapse with a modification of the operation described by Orr in 1947. After a median follow‐up of five years two recurrences occurred (8 per cent). Of 11 patients who were incontinent for fluid feces or flatus preoperatively, five gained continence after the operation. An actuarial analysis of the data revealed a cure rate after five years of 91 per cent (95 per cent confidence limits: 76‐100 per cent).

ISSN:0012-3706    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

&NA;Analyzed data from an earlier reported experience with colorectal cancer at Thomas Jefferson University Hospital, compared with findings observed and analyzed from 1959 to 1977 indicate a changing pattern of distribution of colorectal cancers. These changes lead to therapeutic conclusion that fiberoptic flexible sigmoidoscopy is the preferred diagnostic tool.

ISSN:0012-3706    

出版商:OVID    

年代:1981

数据来源: OVID