Adenocarcinoma of the proximal colon. Sites of initial dissemination and patterns of recurrence following surgery alone.

Abstract:

:Seven hundred ninety-five patients were adenocarcinomas of the proximal colon were reviewed. Two hundred forty-five patients presented with disseminated disease at the time of diagnosis, and were analyzed to identify mechanisms and sites of disease spread. Five hundred fifty patients underwent radical resection, and were followed for a minimum of 48 months or until time of documented relapse. One hundred eighty-six patients (34%) manifested recurrent carcinoma, 64 (34.5%) of whom underwent second laparotomy at the time of initial recurrence. In 139 patients (74.5%), the distribution of clinical recurrence was confined to the abdomen, retroperitoneum, and liver. Prognostic influence of initial stage and tumor grade are analyzed, and possible implications for surgical staging and adjuvant therapy are discussed.

journal_name

Cancer

journal_title

Cancer

authors

Russell AH,Tong D,Dawson LE,Wisbeck W

doi

10.1002/1097-0142(19840115)53:2<360::aid-cncr28205

subject

Has Abstract

pub_date

1984-01-15 00:00:00

pages

360-7

issue

2

eissn

0008-543X

issn

1097-0142

journal_volume

53

pub_type

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