Abstract
In a prospective trial, the resection margins of 130 patients who underwent apparently curative resection for colorectal cancers were examined. Sialomucin was markedly increased in 17.0 percent of proximal resection margins and 17.3 percent in distal resection margins. Clinical follow-up has demonstrated four patients who have developed local recurrence of their disease. Three of these patients had increased sialomucin staining in the resection margins at the time of initial surgery. High iron diamine-alcian blue staining of resection margin may identify those patients at risk of developing local recurrence of colorectal cancer or metachronous tumor following apparently curative resection.
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References
Office of Population Censuses and Surveys. Cancer research campaign: cancers statistics. Incidence, survival and mortality in England and Wales. Studies on medical and population subjects. London: Her Majesties Stationary Office, 1981; No. 43:viii, xii, 22–9.
Wood CB, Gillis CR, Hole D, Malcom AJ, Blumgart LH. Local tumour invasion as a prognostic factor in colorectal cancer. Br J Surg 1981;68:326–8.
Phillips RK, Hittinger R, Plesovsky L, Fry JS, Fielding LP. Local recurrence for large bowel cancer: II. The rectum and rectosigmoid. Br J Surg 1984;71:17–20.
Filipe MI. Value of histochemical reactions for mucosubstances in the diagnosis of certain pathological conditions of the colon and rectum. Gut 1969;10:188–90.
Traynor O, Costa N, Wood CB. Early structural changes in rat colonic mucosa during chemical carcinogenesis. Br J Surg 1981;68:351.
Colacchio TA, Chabot JA, Zimmerman BW. Differential mucin staining in colorectal neoplasms. Am J Surg 1984;147:666–9.
Habib NA, Salem R, Blount M, Rifaat M, Wood CB. A histochemical method that predicts local recurrence in humans with colorectal cancer. Surg Gynecol Obstet 1984;159:436–9.
Spicer SS. Diamine methods for differentiating mucosubstances histochemically. J Histochem Cytochem 1965;13:211–34.
Floyd CE, Corley RG, Cohn I. Local recurrence of carcinoma of the colon and rectum. Am J Surg 1965;109:153–9.
Goligher JC, Dukes CE, Bussey HJ. Local recurrence after sphincter-saving excision for carcinoma of the rectum. Br J Surg 1951;39:199–211.
Morson BC, Vaughan EG, Bussey HJ. Pelvic recurrence after excision of the rectum for carcinoma. Br Med J 1963;2:13–8.
Vink M. Local recurrence of cancer in the large bowel: the role of implantation metastases and bowel disinfection. Br J Surg 1954;41:431–3.
Umpleby HC, Fermor B, Symes MO, Williamson RC. Viability of exfoliated colorectal carcinoma cells. Br J Surg 1984;71:659–63.
Filipe MI. Mucus secretion in rat colonic mucosa during carcinogenesis induced by dimethylhydrazine: a morphological and histochemical study. Br J Cancer 1975;32:60–77.
Lev RA. Histochemical study of glycogen and mucins in developing human foetal epithelia. Histochem J 1:152–65.
Greaves P, Filipe MI, Branfoot AC. Transitional mucosa and survival in human colorectal cancer. Cancer 1980;46:764–70.
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Supported by the Cancer Research Council of the United Kingdom.
Read at the joint meeting of the American Society of Colon and Rectal Surgeons with the Section of Colo-Proctology, Royal Society of Medicine, and the Section of Colonic and Rectal Surgery, Royal Australasian College of Surgeons, New Orleans, Louisiana, May 6 to 11, 1984.
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Wood, C.B., Dawson, P.M. & Habib, N.A. The sialomucin content of colonic resection margins. Dis Colon Rectum 28, 260–261 (1985). https://doi.org/10.1007/BF02554047
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DOI: https://doi.org/10.1007/BF02554047