Local excision: Some reality testing

Anders Mellgren, Joel Goldberg, David A Rothenberger

Research output: Contribution to journalReview articlepeer-review

13 Scopus citations


The role of local therapy for curative intent treatment of patients with favorable rectal cancer is highly controversial. Appropriate staging is essential to exclude patients with tumors that penetrate the rectal wall or spread to mesorectal lymph nodes. Studies on the outcome after local excision for rectal cancer are frequently heterogeneous, and results vary significantly. Recent studies indicate that local excision for early rectal cancer has a high rate of recurrence. Based on these results, together with our own experience, we restrict the use of curative intent local excision to only a few highly selected patients.

Original languageEnglish (US)
Pages (from-to)183-196
Number of pages14
JournalSurgical Oncology Clinics of North America
Issue number2
StatePublished - Apr 2005


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