Synchronous carcinoma of the colon and rectum: prognostic and therapeutic implications.
Publication/Presentation Date
3-1-1989
Abstract
In a series of 1,037 patients with colorectal carcinoma diagnosed at one hospital during a 9-year period, synchronous cancers of the colon and rectum occurred in 2 percent. Patient characteristics and presenting symptoms were similar in single and synchronous carcinomas. The frequency of patients with associated benign neoplasms was significantly higher than that in the parent series. An examination of the modified Dukes' classification stage of the lesion in each patient revealed a higher incidence of lymph node involvement and a greater frequency of mucinous adenocarcinoma in patients with synchronous carcinomas. The 5-year survival of patients with synchronous growths did not differ from that of patients with single lesions, even when classified by Dukes' stage. Preoperative diagnosis was difficult, being achieved in no more than 30 percent of patients. Because of the poor accuracy of barium studies, total colonoscopy is the method of choice for this evaluation. We adopted a conservative surgical policy backed by life-long follow-up.
Volume
157
Issue
3
First Page
299
Last Page
302
ISSN
0002-9610
Published In/Presented At
Adloff, M., Arnaud, J. P., Bergamaschi, R., & Schloegel, M. (1989). Synchronous carcinoma of the colon and rectum: prognostic and therapeutic implications. American journal of surgery, 157(3), 299–302. https://doi.org/10.1016/0002-9610(89)90555-2
Disciplines
Medicine and Health Sciences
PubMedID
2537586
Department(s)
Department of Surgery
Document Type
Article