Revista Cubana de Cirugía
versión On-line ISSN 1561-2945
GONZALEZRODILES HEREDIA, Roswell Enrique; RODRIGUEZ FERNANDEZ, Zenén y CASAUS PRIETO, Arbelio. Recurrent colon cancer: diagnosis and treatment. Rev Cubana Cir [online]. 2009, vol.48, n.1, pp. 0-0. ISSN 1561-2945.
INTRODUCTION. Recurrent cancer is that that reappears after a period of time during which it could not be detected. The objective of this study was to identify the most important diagnostic elements of recurrent colon cancer, as well as the most adequate treatment options. METHODS. An observational, descriptive, longitudinal and retrospective study on the diagnosis and the results of the treatment of tumoral recurrence in 68 patients operated on of colon cancer in a period of 16 years was conducted. RESULTS. It was observed a predominance of female patients over 60. Among the localizations, the primary tumor in the sigmoid and ascending colon was the most common, with stage II after the initial operation. The most frequent recurrences were the locoregional and the hepatic, and its predominant form of presentation was the palpable tumor. The clinical method and the abdominal echography were determinating for the diagnosis. The surgical treatment with adjuvant chemotherapy was the most effective in general and, in particular, in the locoregional localization. There was a survival of 2 years in 30.9 % of the patients, with predominance of those who had undergone surgery. 85.3 % of the series had died five years later. CONCLUSIONS. The early diagnosis and the appropriate treatment of tumoral recurrence require the acting of a multidisciplinary medical team, since it is the main cause of death among the patients operated on of colon cancer with curative intention. The first 2 years of postoperative follow-up are the most risky period for recurrences
Palabras llave : Colorectal cancer; recurrence; diagnosis; postoperative follow-up, treatment; surgery; chemotherapy; radiotherapy.