Characteristics and prognoses of small obstructing colorectal cancers: the combination of gross findings has value in predicting recurrence after curative therapy

Colonic obstruction was determined by clinical signs (abdominal distension, constipation, vomiting, abdominal pain), radiologic evidence (abnormal bowel gaseous distension), colonoscopic findings (inability to push the colonoscope past the lesion), and surgical findings (proximal bowel distension an...

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Bibliographic Details
Published in:The American surgeon 2013-05, Vol.79 (5), p.544-547
Main Authors: Ahn, Byung Kyu, Lee, Kang Hong
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Colorectal cancer
Colorectal Neoplasms - complications
Colorectal Neoplasms - mortality
Colorectal Neoplasms - pathology
Colorectal Neoplasms - surgery
Female
Follow-Up Studies
Humans
Intestinal Obstruction - etiology
Male
Medical research
Middle Aged
Multivariate analysis
Neoplasm Invasiveness
Neoplasm Recurrence, Local - pathology
Neoplasm Staging
Prognosis
Survival Rate
Tumor Burden
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Summary:Colonic obstruction was determined by clinical signs (abdominal distension, constipation, vomiting, abdominal pain), radiologic evidence (abnormal bowel gaseous distension), colonoscopic findings (inability to push the colonoscope past the lesion), and surgical findings (proximal bowel distension and edema). Many workers have suggested that tumor stage is the most important independent prognostic factor in colorectal cancer.3, 4 However, in the present study, the combination of gross findings (size and obstruction) also appeared to be an independent risk factor for recurrence.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481307900535