| Autor: |
Juan, Martí-Ragué, David, Parés, Sebastiano, Biondo, Matilde, Navarro, Juan, Figueras, Javier, de Oca, Laura, Pareja, Maria, Cambray, Carlos, del Río, Alfonso, Osorio, Valeri, Novell, Eduardo, Jaurrieta |
| Rok vydání: |
2004 |
| Předmět: |
|
| Zdroj: |
Medicina clinica. 123(8) |
| ISSN: |
0025-7753 |
| Popis: |
Colorectal cancer is one of the most frequent causes of death in the general population. Our aim was to analyze our experience in the multidisciplinary approach of colorectal carcinoma during a three year period.Between January 1996 and December 1998, we studied prospectively 807 patients with colorectal cancer. The epidemiology, treatment and outcome(recurrence and survival) were analyzed. The minimum follow-up was 3 years.There were 598 colon (65.5%) and 279 rectal (34.5%) tumors in all the series. Surgical treatment was elective in 84% and urgent in 16%, and was considered radical in 598 cases (74.1%). Chemotherapy or radiotherapy was administered in 49.6% and 18.3% patients, respectively. The overall 3-year survival was as follows: stage I 97.5%, stage II 90.6%, stage III 75.2%, and stage IV 12.6%. The 3-year free-disease survival was as follows: in colon cancer 97.8% for stage I, 87.3% for stage II, and 71.4% for stage III; and in rectal cancer 96.8% for stage I, 85.1% for stage II, and 75.4% for stage III. During the follow-up 124 patients (20.7%) developed recurrence: local (2.8%), systemic (15.9%) or both (2%). The three-year survival in operated patients with liver metastases was 61.9%.We have observed adequate survival and recurrence rates which are the result are of systematic protocols established by a multidisciplinary team. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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