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Distal intramural spread of rectal carcinomas

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Diseases of the Colon & Rectum

Abstract

Forty-three consecutive specimens of resected rectal carcinomas, 16 abdominoperineal and 27 anterior resections, were examined for distal intramural spread. Thirty-four of the resections were considered curative and nine palliative. Eighteen carcinomas (42 percent) showed no distal spread, and 14 (33 percent) showed very limited distal spread (0–5 mm). In the remaining cases, 11 (25 percent) had distal spread of more than 5 mm and eight of more than 10 mm. The eight carcinomas with distal spread of greater than 10 mm were advanced Dukes' C tumors. Only three were considered curable. All potentially curable carcinomas would have been resected adequately with a distal margin of only 1.5 cm except one signet-ring carcinoma with extensive lymph node metastases located in the lower rectum.

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Authors and Affiliations

  1. Department of Pathology Glostrup Hospital, University of Copenhagen, Denmark

    Per M. Madsen M.D. &  John Christiansen M.D., Ph.D.

  2. Department of Surgery D, Glostrup Hospital, DK-2600, Copenhagen, Denmark

    Per M. Madsen M.D. &  John Christiansen M.D., Ph.D.

Authors
  1. Per M. Madsen M.D.
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  2. John Christiansen M.D., Ph.D.
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Madsen, P.M., Christiansen, J. Distal intramural spread of rectal carcinomas. Dis Colon Rectum 29, 279–282 (1986). https://doi.org/10.1007/BF02553041

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  • DOI: https://doi.org/10.1007/BF02553041

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