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Locally advanced colorectal carcinoma remains one of the greatest challenges in oncologic surgery. Approximately 10% of patients in the United States who are explored for colorectal carcinoma have tumors that are adherent to adjacent tissues or organs, but evidently, have not mestastasized distantly. The term “locally advanced”applied to cancerous invading adjacent structures, is frequently understood to be synonymous with incurability, but carcinoma of the large intestine is an important exception. Many of these locally advanced lesions, despite attaining a large size, are potentially curable surgically, especially if the regional lymph nodes are free of metastasis as is surprisingly frequent. Naturrally, the magnitude of the resection required for complete removal depends on the tumor location and extent and may be as simple as resecting 2 cm. Of abdominal wall or as daunting as a total pelvic exenteration.

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2004-08-02   |   1,291 visitas   |   Evalua este artículo 0 valoraciones

Vol. 16 Núm.1. Enero-Diciembre 2000 Pags. 15-17 Med Hoy 2000; 16(1)