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Chirurgia 1999 June;12(3):187-90

Copyright © 1999 EDIZIONI MINERVA MEDICA

language: Italian

Pelvic recurrence after Miles operation for rectal cancer: postoperative evaluation

Vuolo G., Volterrani L., Collini A., Di Cosmo L., Capezzuoli A., Vegni V., Ricci V., Bellezza A., Pecci A. P., Carli A.


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Early detection of rectal cancer local recurrence after abdomino-perineal resection allows surgical revision of the perineum in 5-10% of patients, which in association with radiotherapy, makes it possible to obtain good results of quality of life and survival. In 110 patients (majority B1 and B2 stage) postoperative CT-scans with CT guided biopsy were performed in doubtful cases. Twenty-four local recurrences (21.81%) were observed, among which 14 diagnosed only by CT scan (and confirmed by biopsy). In 10 cases CT scan was performed when there was already a clinical diagnosis of recurrence. In 6 patients it was possible to perform a surgical revision of perineal space with radiotherapy (25%), in 10 cases only radiotherapy (41.66%) and in 8 cases only a palliative treatment (33.33%). Compared to MRI, CT-scan gives the advantage of being more accessible, due to the larger number of scanners and being a less expensive examination. The conclusion is drawn that recurrent pelvic CT scan with frequent follow-up is the best method for early detection of rectal cancer pelvic recurrences.

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