From 1969 to 1983 a total of 1918 patients with colorectal cancer were treated by curative resection. One hundred twenty one patients in this group had multivisceral organ involvement, necessitating extended multivisceral radical resection. Tumor infiltration was proven histologically in 55 percent, while 45 percent had inflammatory adherence to the attached organ only. Postoperative mortality was 12 percent. Dukes' A and B stages were present in 57 percent. The five-year survival rate (postoperative mortality included) was 54 percent for patients with inflammatory adherence, 49 percent for patients with tumor infiltration resected en bloc without tumor tears of rupture, and 17 percent when the surgeon inadvertently had torn or cut into tumor tissue during resection.
CARCINOMA OF RECTUM CHAPUIS ET ALll 12 GEHAN EA Ageneralised Wilcoxon Test for comparing arbitarily 13 PENFOLD JCB A comparison of restorative resection o f , single-censored samples 61ornetnka 1965 52 203-223 carcinoma of the middle third of the rectum with 18 abdominoperineal excision AuST NZ J SURG 1974, 14 MAYO CW FLY OA Analysis of five year survival In carcinoma of the rectum and rectosigmoid Surg Gynecol Obstet 1956 103 94-1 00 anterior resection for carcinoma of the rectum and rectosigmoid Surg Gynecol Obstet 1958, 106 695-698 16 DEDDISH MR STEARNS MW Anterior resection for Carcinoma of 21 the rectum and rectosigmoid area Ann Surg 1961, 154961-966 44 354-356 l9 15 MAYO CW LABERGE MY HARDY WM Five year survival after 20 SLANETZ, CA. HERTER FP, GRINNELL RS, Anterior resection versus abdominoperineal resection for cancer of the rectum and rectosigmoid. Am J Surg .1972; 123:llO-117. GLEN F, MCSHERRY CK. Carcinoma of the distal large bowel: 32-year-review of 1,026 cases. Ann Surg 1966; 163:838-849. NICHOLLS RJ, RITCHIE JK, WADSWORTH J, PARKS AG. Total excision or restorative resection for carcinoma of the middle third of the rectum. 6 r J Surg 1979; 66:625-627. PATEL S . TOVEE EB, LANGER B. Twenty-five years of experience with radical surgical treatment of carcinoma of the extraperitoneal rectum. Surgery 1977; 82:460-465. WHITTAKER M, GOLIGHER JC. The prognosis after surgical treatment for carcinoma of the rectum. 6 r J Surg 1976; 63:384-388.
Elective radical groin dissection was performed on 297 consecutive patients with high-risk melanoma of the leg, Anderson Stages I, IIA, IIIA. By separate histologic examination of the so-called "Rosenmüller's node," the other inguinal, and the external iliac lymph nodes, the diagnostic excision of the Rosenmüller's node was tested as a suitable mode of screening for metastases before a planned elective regional lymph node dissection. Eighty patients (27%) presented with what was histologically determined to be occult groin metastases. Rosenmüller's node was involved in 30 of these cases; in the remaining 50, however, it was not affected; that is, 63% of the cases were false-negative. Thus, the involvement of Rosenmüller's node is not representative of metastases in the other ilioinguinal lymph nodes, but is rather a matter of chance. In women with superficial spreading melanoma the rate of occult lymph node metastases was significantly lower than that in men with melanomas of the other type. Iliac lymph node involvement was observed in 18 patients (22%) depending on clinical stage and depth of invasion of the primary tumor.
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