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
Cancerjournal_title
Cancerauthors
Russell AH,Tong D,Dawson LE,Wisbeck Wdoi
10.1002/1097-0142(19840115)53:2<360::aid-cncr28205subject
Has Abstractpub_date
1984-01-15 00:00:00pages
360-7issue
2eissn
0008-543Xissn
1097-0142journal_volume
53pub_type
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