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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

• 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)