Local excision for early rectal cancer - is it proper surgical decision?

Abstract

Reviewed by: Prof. T. Temelkov BACKGROUND: Sphincter pres er va tion, dis ease con trol, and long-term sur vival are the main goals in the treat ment of rec tal can cer. Al though transanal lo cal ex ci sion is at trac tive be cause it is a sphincter spar ing proce dure, some con tra dic tory data ex ist in the lit er a ture about its abil ity to lo cally con trol dis ease and pro vide over all sur vival com pa ra ble with rad i cal pro ce dures, even for pa tients with early stage tu mor. In pa tients with early rec tal can cer (T1), lo cal ex ci sion may be an al ter na tive ap proach in highly se lected pa tients. For more ad vanced rec tal can cer, rad i cal sur gi cal re sec tion is the treat ment of choice. METHODS: We re viewed the lit er a ture to iden tify the cur rent re cur rence and sur vival rates of both tech niques as well as the sal vage sur gery suc cess, only 1 study was pro spec tive, 5 were com par a tive, and 5 were case re ports. We pres ent a case re port of a woman with lo cal ex ci sion of rec tal tu mor. Five years later a rectal recurrence has showed up. We describe the case and make some conclusions.