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Patterns of Recurrence After Pelvic Exenteration for Colorectal Adenocarcinoma
Gordon H. Hafner, MD;
Lemuel Herrera, MD;
Nicholas J. Petrelli, MD
Arch Surg. 1991;126(12):1510-1513.
Abstract
• We performed a retrospective review of 68 patients who underwent pelvic exenteration for colorectal adenocarcinoma. Forty-seven patients had surgery for primary disease and 21 for recurrence. Clinical recurrence developed in 30 (44%) of 68 patients overall. Of these, 17 (57%) developed locoregional disease only as their first recurrence. This included nine (56%) of 16 patients with primary disease and eight (57%) of 14 patients with recurrent disease. Clinical recurrence developed in 16 (34%) of 47 patients with primary disease and 14 (66%) of 21 patients with recurrent disease. The overall 5-year survival rates were 43% and 20%, respectively. We conclude that locoregional recurrence remains a significant problem for primary or recurrent colorectal carcinoma even after radical pelvic surgery.
(Arch Surg. 1991;126:1510-1513)
Author Affiliations
From the Department of Surgical Oncology and Endoscopy, Roswell Park Cancer Institute, Buffalo, NY.
Footnotes
Accepted for publication August 31, 1991.
Presented at the 44th Annual Cancer Symposium of the Society of Surgical Oncology, Orlando, Fla, March 25, 1991.
Reprint requests to the Department of Surgical Oncology and Endoscopy, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY 14263 (Dr Petrelli).
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