2 research outputs found
CLINICAL-STATISTICAL STUDY OF MULTIPLE SYNCHRONOUS AND METACRONE TUMORS
Multiple malignant tumors, synchronous, metachronous, represent a subject currently under development. Risk assessment, standardization of screening and and to map the sequences of the occurrence and
localization represents current issues. For further study, we evaluated 30 patients who developed 3 or more
malignancies. The study has a retrospective character, the information being obtained from the history and
the medical documents of the patients admitted to the General Surgery II of the Bucharest Emergency Hospital during 2010-2019
ANASTOMOTIC RECURRENCE AFTER 1/3-YEAR RECTAL NEOPLASM OPERATED WITH PRESERVATION OF THE ANAL SPHINCTER
The quality of surgery, the limits of resection, the total excretion of "mesorectum", mechanical or manual
anastomosis and pre-and postoperative oncologic treatment of rectal cancer, all these, may influence the incidence of local recurrence.
We have analyzed the case of a 62-year old patient with rectal bleeding , diarrhea, and rectal tenesmus. The
colonoscopy revealed a rectal tumor located at 10 cm from anal-rectal limit. A biopsy was taken from the
tumor: moderately differentiated adenocarcinoma. CEA and CA19.9 tumor markers were found within
normal limits. There was performed rectal resection with end-to-end colonic – rectal anastomosis with Stapler 32. Postoperatively, pathological examination: rectal adenocarcinoma NOS with low degree of malignancy G2 – moderately differentiated, diffuse infiltration to the musculature, without metastasis in regional nodes (only identified 5), completely excised surgically – it was classified as pT2pNo (G2) stage.
Postoperatively, the patient did not perform oncology treatment.
Colonoscopy which was performed 1 year after surgery, revealed a bleeding tumor located at the anastomosis level. Biopsies were taken from the anastomosis tumor. The result confirms the local recurrence of
invasive adenocarcinoma. Milles rectum amputation is decided and practiced. Postoperatively the patient
performs oncological treatment.
Preoperative staging is an important factor in determining the indication of radiotherapy