Fatores prognósticos e sobrevida no adenocarcinoma primário de reto

Mussnich, Heloisa Guedes; Moreira, Luís Fernando; Gus, Pedro; Pimentel, Marcelo; Simon, Tatiana; Santos, Marcelo Bellon dos

doi:10.1590/s0101-98802008000100009

Cited by 7 publications

(9 citation statements)

References 27 publications

(40 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is important to emphasize that the less differentiated the tumor cells, the worse the prognosis. 23 In more advanced stages of the disease, it becomes necessary to evaluate new strategies to enable earlier diagnosis and better treatment results. 24…”

Section: Discussionmentioning

confidence: 99%

Pattern of Rectal Cancer Recurrence Following Potentially Curative Surgical Treatment

Sevá-Pereira¹,

Oliveira²,

Ribeiro³

et al. 2022

Journal of Coloproctology

View full text Add to dashboard Cite

Survival in rectal cancer has been related mainly to clinical and pathological staging. Recurrence is the most challenging issue when surgical treatment of rectal cancer is concerned. This study aims to establish a recurrence pattern for rectal adenocarcinoma submitted to surgical treatment between June 2003 and July 2021. After applying the exclusion criteria to 305 patients, 166 patients were analyzed. Global recurrence was found in 18.7% of them, while 7.8% have had local recurrence. Recurrences were diagnosed from 5 to 92 months after the surgical procedure, with a median of 32.5 months. Follow-up varied from 6 to 115 months. Recurrence, in literature, is usually between 3 and 35% in 5 years and shows a 5-year survival rate of only 5%. In around 50% of cases, recurrence is local, confined to the pelvis. This study was consonant with the literature in most aspects evaluated, although a high rate of local recurrence remains a challenge in seeking better surgical outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Pattern of Rectal Cancer Recurrence Following Potentially Curative Surgical Treatment

Sevá-Pereira¹,

Oliveira²,

Ribeiro³

et al. 2022

Journal of Coloproctology

View full text Add to dashboard Cite

show abstract

“…Quando o tumor primário for extinto completamente pelo tratamento cirúrgico e o paciente apresentar metástase, é possível a ressecção deste tumor secundário por cirurgia, mas muitas vezes, será necessária quimioterapia antineoplásica e/ou radioterapia (DELANEY, 2009;HOFF et al, 2013 (CAMPOS et al, 2001;SHAUKAT, 2005;MUSSNICH, 2008;GAO, 2009;STEIN, 2010;ENRÍQUEZ-NAVASCUÉS, 2011; LIZARAZU, 2011; CASTILLO-LANCELLOTTI, 2012; RAHBARI, 2012).…”

Section: Discussionunclassified

“…Concluímos que a assistência de enfermagem ao paciente com CCR deve envolver uma assistência perioperatória especializada, com identificação de demandas de necessidades individuais para o planejamento de cuidados procedimentais e psicossociais, que possam preparar o paciente para a cirurgia e prevenir complicações pós-operatórias (SHAUKAT, 2005;MUSSNICH, 2008;GAO, 2009; STEIN, 2010; ENRÍQUEZ-NAVASCUÉS, 2011; LIZARAZU, 2011; CASTILLO-LANCELLOTTI, 2012; RAHBARI, 2012).…”

Section: Discussionunclassified

“…Ao analisarmos a amostra deste estudo, constatamos que nestes três artigos científicos, os autores abordaram os aspectos clínicos e terapêuticos de pacientes com CCR, vinculando procedimentos cirúrgicos e prognósticos (CAMPOS et al, 2001;MUSSNICH et al, 2008;ENRÍQUEZ-NAVASCUÉS et al, 2011). Por outro lado, um artigo científico abordou os aspectos que podem favorecer a prevenção de CCR (LOGAN et al, 2008 Com a análise destes estudos identificamos que a laparoscopia apesar de suas vantagens a sua indicação é realizada em situações de menor gravidade (CAMPOS et al, 2001) e que para a realização dos prognósticos são considerados os níveis de estadiamento do tumor, sendo que àqueles com pior prognóstico e metástases ou recidivas apresentam maior risco de óbito, em comparação àqueles sem recidiva (MUSSNICH et al, 2008). Por outro lado, tem sido realizado estudos sobre a prevenção de recidiva de CCR com o uso de aspirina (GAO et al, 2008) ou suplementação com folato, contudo os resultados são pouco consistentes, o que indica a necessidade de mais estudos no futuro (LOGAN et al, 2008 FINEOUT-OVERHOLT, 2011).…”

Section: Ri Sobre Recidiva De Ccrunclassified

“…A diferenciação tumoral indica risco aumentado para óbito em pacientes com estágio avançado. Os fatores prognósticos estão relacionados com os níveis de estadiamento do tumor, pior prognóstico, os pacientes com metástases e recidiva, e os pacientes com recidiva apresentaram risco significativo de óbito em relação àqueles sem recidiva(MUSSNICH et al, 2008).Estudo sobre as diferentes abordagens cirúrgicas, com ou sem associação com outras terapêuticas, e as taxas de recidiva. No período de 1968 a 2005, diferentes abordagens cirúrgicas foram utilizadas para combater o CCR, na tentativa de minimizar ou reduzir a recidiva local.…”

unclassified

See 2 more Smart Citations

Proposição da assistência de enfermagem perioperatória aos pacientes com recidiva de câncer colorretal

Lima¹

View full text Add to dashboard Cite

show abstract

Relationship between nutritional status and immediate complications in patients undergoing colorectal surgery

Souza¹,

Dourado

Lima³

et al. 2013

Journal of Coloproctology

View full text Add to dashboard Cite

Introduction several complications may occur during colorectal surgical procedures and factors, such as nutritional status, substantially contribute to this problem. Objective evaluate the relationship between nutritional status (determined by different tools) and the emergence of early postoperative complications, as well as analyze social parameters, lifestyle, food intake, and time to diet reintroduction. Methods case series study conducted in the surgical proctologic ward of the Hospital Barão de Lucena, Recife, Pernambuco, with individuals of both sexes diagnosed with colorectal cancer who underwent a surgical procedure involving at least one anastomosis. Social, demographic and clinical data, life style, dietary intake, nutritional status, and the immediate postsurgical complications were evaluated. Results among the 31 patients studied, there was a higher prevalence of females (74.2%), mean age of 61.9 ± 12.4 years old, and the rectum was the primary site of cancer in 54.8%. Most patients came from the countryside, were retirees, had lower education, consumed too much red meat, processed meats, and fats, with low consumption of fruits and vegetables, and were sedentary. Regarding nutritional status, nutritional risk was found in 58.1%, mean BMI of 25.7 ± 6.8 kg/m2, and 54.8% had significant weight loss. Additionally, 38.7% had some of the immediate complications, particularly paralytic ileus and abdominal distension. There was a delay in the onset of renourishment, and there was no association between nutritional status and immediate complications. Conclusion colorectal cancer is closely related to eating habits and lifestyle. Patients with this malignancy have a marked weight loss; however, in this study, we found no association between nutritional status and the incidence of postoperative complications.

show abstract

Fatores prognósticos e sobrevida no adenocarcinoma primário de reto

Cited by 7 publications

References 27 publications

Pattern of Rectal Cancer Recurrence Following Potentially Curative Surgical Treatment

Pattern of Rectal Cancer Recurrence Following Potentially Curative Surgical Treatment

Proposição da assistência de enfermagem perioperatória aos pacientes com recidiva de câncer colorretal

Relationship between nutritional status and immediate complications in patients undergoing colorectal surgery

Contact Info

Product

Resources

About