Cecal carcinoma: a different colon malignancy?

Abstract:

:Cecal carcinoma has been associated with a poorer prognosis than other colon carcinomas because of the presumed longstanding obscure symptoms. In a combined study of three Dutch hospitals, a total of 166 patients with cecal carcinoma were evaluated after right hemicolectomy. Special emphasis was placed on clinical symptoms related to advanced tumor growth, e.g., pain, anemia, and palpable mass. These factors and clinicopathological staging were evaluated with aid of the Cox regression model. Ninety percent of the resected specimens contained a Dukes' B or C carcinoma. Only 5% were found to have widespread metastatic disease. Overall 5 year survival rate was found to be 0.57. No statistically significant relation to pain or palpable mass was found. Anemia, however, was related to a better survival, especially in patients with a Dukes' B carcinoma. Clinicopathological staging according to Dukes' is closely related to survival. It is concluded that carcinoma of the cecum behaves similarly to other colon malignancies.

journal_name

J Surg Oncol

authors

Leenen LP,Wobbes T,Hoekstra HJ,van der Werken C

doi

10.1002/jso.2930440309

subject

Has Abstract

pub_date

1990-07-01 00:00:00

pages

171-5

issue

3

eissn

0022-4790

issn

1096-9098

journal_volume

44

pub_type

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