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ID 38121
file
creator
Matsuyama, Toshiya
Matsumura, Takashi
Kawahori, Katsufumi
Hoshino, Shuji
Takahashi, Tadateru
Nakagawa, Yoshimoto
Dohi, Kiyohiko
Yamamoto, Masami
subject
Local resection
Prognosis
Lower rectal carcinoma
NDC
Medical sciences
abstract
Local resection of the lower rectum was performed for the treatment of malignant polypoid lesions in 22 patients.

The clinical outcomes of the procedure are summarized as follows;
1. For Ila + Ile type malignant polyp, transanal wedge resection of the entire rectal wall or a transsacral tube resection of the rectum should be performed; as a minimal preventive measure against local recurrence.
2. Early invasive carcinoma (sm) has a metastatic potential on distant organs.
3. In the case of polypoid carcinoma invading the muscle layer (pm), local resection was conducted only in the patients with distant metastasis or with serious complications and in aged patients.
4. When postoperative histological examination reveals a mistake in operative strategy, the patient should be reoperated immediately.
journal title
Hiroshima Journal of Medical Sciences
volume
Volume 38
issue
Issue 3
start page
141
end page
146
date of issued
1989-09
publisher
Hiroshima University Medical Press
issn
0018-2052
ncid
pubmed id
language
eng
nii type
Departmental Bulletin Paper
HU type
Departmental Bulletin Papers
DCMI type
text
format
application/pdf
text version
publisher
department
Graduate School of Biomedical Science
University Medical Hospital
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