Treatment Strategy for Rectal Cancer Patients With Inguinal Lymph Node Metastasis.

Abstract:

BACKGROUND/AIM:To investigate the impact of inguinal lymph node dissection (ILND) following neoadjuvant chemoradiotherapy (NACRT) for rectal cancer patients with ILN metastasis. PATIENTS AND METHODS:Forty-three patients with rectal cancer underwent NACRT followed by curative surgery between January 2005 and December 2016. Seven patients underwent ILND after NACRT for clinically-positive ILN metastasis (ILND (+) group), while the remaining 36 did not receive ILND for clinically negative ILN metastasis (ILND (-) group). Their outcomes were retrospectively analyzed. RESULTS:Only one patient in the ILND (+) group had a local recurrence at six years after surgery. The 5-year recurrence-free survival was 100% and 65.4% in the ILND (+) and ILND (-) groups, respectively (p=0.09), and the 5-year overall survival was 100% and 83.2%, respectively (p=0.32). CONCLUSION:ILND following NACRT seems effective for rectal cancer patients with ILN metastasis.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Ueta K,Matsuda T,Yamashita K,Hasegawa H,Mukohyama J,Yamamoto M,Matsuda Y,Kanaji S,Oshikiri T,Nakamura T,Suzuki S,Kakeji Y

doi

10.21873/anticanres.13779

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

5767-5772

issue

10

eissn

0250-7005

issn

1791-7530

pii

39/10/5767

journal_volume

39

pub_type

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