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Article
December 1991

Patterns of Recurrence After Pelvic Exenteration for Colorectal Adenocarcinoma

Author Affiliations

From the Department of Surgical Oncology and Endoscopy, Roswell Park Cancer Institute, Buffalo, NY.

Arch Surg. 1991;126(12):1510-1513. doi:10.1001/archsurg.1991.01410360084013
Abstract

• We performed a retrospective review of 68 patients who underwent pelvic exenteration for colorectal adenocarcinoma. Forty-seven patients had surgery for primary disease and 21 for recurrence. Clinical recurrence developed in 30 (44%) of 68 patients overall. Of these, 17 (57%) developed locoregional disease only as their first recurrence. This included nine (56%) of 16 patients with primary disease and eight (57%) of 14 patients with recurrent disease. Clinical recurrence developed in 16 (34%) of 47 patients with primary disease and 14 (66%) of 21 patients with recurrent disease. The overall 5-year survival rates were 43% and 20%, respectively. We conclude that locoregional recurrence remains a significant problem for primary or recurrent colorectal carcinoma even after radical pelvic surgery.

(Arch Surg. 1991;126:1510-1513)

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