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[Multiple carcinomas of large bowel].

Y F Shao1

  • 1Cancer Hospital, Chinese Academy of Medical Science, Beijing.

Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery]
|September 1, 1991
PubMed
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This study analyzed 38 patients with multiple colorectal cancers, finding synchronous (SC) and metachronous (MC) carcinomas. Surgical resection is recommended for both SC and MC to improve patient survival rates.

Area of Science:

  • Gastroenterology
  • Oncology
  • Surgical Oncology

Context:

  • Multiple colorectal carcinomas present a diagnostic and therapeutic challenge.
  • Understanding the incidence and outcomes of synchronous (SC) and metachronous (MC) colorectal cancers is crucial.

Purpose:

  • To analyze the incidence, clinical characteristics, and survival rates of patients with multiple colorectal carcinomas.
  • To evaluate the efficacy of surgical resection for synchronous and metachronous colorectal cancers.

Summary:

  • Over 32 years, 38 patients with multiple colorectal carcinomas were identified, with SC incidence at 1.5% and MC at 1.1%.
  • The 5-year survival rate for SC treated surgically was 35.7%, significantly lower than the 93% for MC.
  • Surgical resection is advised for all patients diagnosed with SC and MC.

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Impact:

  • Highlights the importance of surgical intervention in managing multiple colorectal cancers.
  • Provides data supporting improved survival outcomes for metachronous colorectal cancers post-surgery.
  • Informs clinical practice regarding the management of patients with synchronous and metachronous colorectal malignancies.