Abstract
The incidence of local recurrence of rectal cancer after curative resection ranges from 2.6 to 32% [1] and is related to the stage of the primitive tumor and to the quality of the initial surgical treatment. Before the introduction of total mesorectal excision and neoadjuvant radiochemotherapy, around 80% of recurrences appeared within the first 2 years of surgery with an average time of onset ranging between 6 and 12 months [2].
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Abulafi AM, Williams NS (1995) Local recurrence of colorectal Cancer: the problem, mechanisms, management and adjuvant therapy. Br J Surg 81:7–19
Heriot AG, Kumar D (2000) Rectal Cancer recurrence: factors and mechanisms. Colorectal Dis 2:126–136
Van Lingen CP, Zeebregts CJ, Gerritsen JJ et al (2003) Local recurrence of rectal cancer after total mesorectal excision without preoperative radiotherapy. Int J Gastrointest Cancer 34:129– 134
Sagar PM, Pemberton JH (1996) Surgical management of locally recurrent rectal cancer. Br J Surg. 83:296–304
Palmer G, Martling A, Cedemark B et al (2007) A population based study on the management and outcome in patients with locally recurrent rectal cancer. Ann Surg Oncol 14:447–454
Hahnloser D, Nelson H, Grunderson L et al (2003) Curative potential of multimodality therapy for locally recurrent rectal cancer. Ann Surg 237:502–508
Ghouti L, Portier G, Kirzin S, et al (2007) Traitment chirurgical des recidives locorégionales du cancer du rectum. Gastroenteral Clin Biol 31:55–67
Heriot AG, Tekkis PP, Darzi A et al (2006) Surgery for local recurrence of rectal cancer. Colorectal disease 8:733–747
Barkin J, Cohen M, Flaxman M (1988) Value of routine follow-up endoscopy for the detection of recurrent of colorectal cancer. Am J Gastroenterol 88:1355–60
Even Sapir E, Parag Y, Lerman H (2004) Detection of recurrence in patients with rectal cancer: PET/CT after abdominoperineal or anterior resection. Radiology 232:815–822
Sobin L, Wittekind C (1997) 5th Edition UICC International Union Against Cancer: TNM classification of malignant tumors. John Wiley and sons Inc, New York, p 67
Wanebo HJ, Antoniuk P, Koness RJ et al (1999) Pelvic resection of recurrent rectal cancer. Dis Colon Rectum 42:1438–1448
Yamada K, Ishizawa T, Niwa K et al (2001) Patterns of pelvic invasion are prognostic in the treatment of locally recurrent rectal cancer. Br J Surg 88:988–993
Guillem J, Ruo L (1998) Strategies in operative therapy for locally recurrent rectal cancer. Semin Colon Rectal Surg 9:259–268
Bropphy P, Hoffman J, Eisemberg B (1994) The role of palliative pelvic exenteration. Am J Surg 167:386–390
Khot U, Wenk Lang A, Murali K et al (2002) Systematic review of the clinical evidence on colo-rectal self expanding stents. Br J Surg 89:1098–1102
Farouk R, Nelson H, Gunderson LL (1997) Aggressive multimodality treatment for locally advanced irresectable rectal cancer. Br J Surg 84:741–749
Mohiuddin M, Hayne M, Regine WF et al (2000) Prognostic significance of postchemiora-diation stage following preoperative chemotherapy and radiation for advanced recurrent rectal cancer. Int J Radiat Oncol Biol Phys 48:1075–1080
Wiig J, Poulsen J, Tveit K et al (2000) Intraoperative irradiation for primary advanced and recurrent rectal cancer: a need for randomised studies. Eur J Cancer 36:868–874
Houvenaeghel G (2002) Conservative surgery and restoration after pelvic exenteration. Bull Cancer 89:1061–1066
Wanebo HJ, Marcove RC (1981) Abdominal Sacral Resection of Locally Recurrent Rectal Cancer. Ann Surg 4: 458–471
Maetani S, Nishikawa T, Iijima Y et al (1992) Extensive en bloc resection of regionally recurrent carcinoma of the rectum. Cancer 69:2876–2883
Moriya Y, Akasu T, Fujita S et al (2004) Total pelvic exenteration with distal sacrectomy for fixed recurrent rectal cancer in the pelvis. Dis Colon Rectum 47:2047–2054
Boyle KM, Sagar PM, Chalmers AG et al (2005) Surgery for locally recurrent rectal cancer. Dis Colon Rectum 48:929–937
Miner TJ, Jacques DP, Paty PB et al (2003) Symptom control in patients with locally recurrent rectal cancer. Ann Surg 10:72–79
Mannaerts GH, Schijven MP, Hendrikx A et al (2001) Urologic and sexual morbidity following multimodality treatment for locally advanced primary and locally recurrent rectal cancer. Eur J Surg Oncol 27:265–272
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag Italia
About this chapter
Cite this chapter
Graziotin, P., de Manzini, N. (2013). Treatment of Local Recurrence. In: de Manzini, N. (eds) Rectal Cancer. Updates in Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-2670-4_15
Download citation
DOI: https://doi.org/10.1007/978-88-470-2670-4_15
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-2669-8
Online ISBN: 978-88-470-2670-4
eBook Packages: MedicineMedicine (R0)