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MEDISAN
On-line version ISSN 1029-3019
Abstract
RODRIGUEZ FERNANDEZ, Zenén et al. Factors associated with the survival of patients with recurrent colon cancer. MEDISAN [online]. 2014, vol.18, n.10, pp. 1386-1394. ISSN 1029-3019.
An observational, descriptive and longitudinal study of 37 patients operated from colon cancer was made, with healing intention, in "Saturnino Lora Torres" Teaching Clinical Surgical Hospital in Santiago de Cuba, during the period 2006-2012 who presented tumorous recurrence diagnosed in the out-patient department, by means of an outline of postoperative follow up during a five year period or more, with the aim of identifying some factors associated to the survival. Among the main results of the series, it was obtained that the local-regional tumorous recurrence was predominant and the new surgery together with the adjuvant chemotherapy caused a greater survival in comparison to the one reached when using just chemical agents. On the other hand, most of the affected patients reached a survival no longer than one year, taking into account the interval from the diagnosis to death, and when concluding the study there was a mortality of 62.2%, whose most frequent cause was the tumorous recurrence itself. It could be concluded that surgeries were essentially palliative, although the diagnosis was in correspondence to the early detection during the period of postoperative follow up
Keywords : colon cancer; tumorous recurrence; postoperative follow up; surgical treatment; chemotherapy; radiotherapy; immunotherapy; survival.