Electrocoagulation of rectal cancer |
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Authors: | Dr Eugene P Hughes Jr MD Dr Malcolm C Veidenheimer MD Dr Marvin L Corman MD John A Coller MD |
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Institution: | (1) Present address: 201 East Meade Street, 19118 Philadelphia, Pennsylvania;(2) Present address: Sansum Medical Clinic, 317 West Pueblo Street, 93102 Santa Barbara, California;(3) Section of Colon and Rectal Surgery, Lahey Clinic Medical Center, 41 Mall Road, Box 541, 01805 Burlington, Massachusetts |
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Abstract: | Electrocoagulation is an effective treatment modality for localized cancer of the distal rectum. Proper selection remains
the key to successful treatment. Of potentially curable patients with cancer of the rectum followed up for a median of five
years, 69 per cent had no evidence of cancer at the end of the study period. Gross tumor morphology defined two distinct groups
with regard to outcome after electrocoagulation. Ninety-two per cent of patients with polypoid/exophytic tumors as compared
to 33 per cent of patients with ulcerative lesions had successful treatment. Based on these results, the authors believe that
lesions that are exophytic represent early cancers with a low incidence of nodal spread and, as such, can be treated by electrocoagulation
with confidence. As a palliative measure, the authors found electrocoagulation to yield equivocal results.
Read at the meeting of the American Society of Colon and Rectal Surgeons, Colorado Springs, Colorado, June 7 to 11, 1981. |
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Keywords: | Cancer rectal Electrocoagulation Dukes' lesions |
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