TY - JOUR
T1 - Local excision
T2 - Some reality testing
AU - Mellgren, Anders
AU - Goldberg, Joel
AU - Rothenberger, David A
PY - 2005/4
Y1 - 2005/4
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=16244383488&partnerID=8YFLogxK
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U2 - 10.1016/j.soc.2004.11.007
DO - 10.1016/j.soc.2004.11.007
M3 - Review article
C2 - 15817234
AN - SCOPUS:16244383488
SN - 1055-3207
VL - 14
SP - 183
EP - 196
JO - Surgical Oncology Clinics of North America
JF - Surgical Oncology Clinics of North America
IS - 2
ER -