Köves I, Besznyák I, Molnár L, Vámosi-Nagy I
Országos Onkológiai Intézet, Budapest.
Orv Hetil. 1990 Mar 18;131(11):559-62.
77 patients were treated by the authors because of recurrent or metastatic colorectal cancers. Follow-up protocol of elective surgery is discussed with respect to the two different types of surgery that is those performed because of colon and rectal cancer, respectively. The diagnostic and therapeutic principles as well as the results gained by the authors are discussed in details in case of the different types of recurrent and metastatic tumours (anastomotic recurrence, metachron tumour, local recurrence, hepatic, pulmonary, lymph node and osseal metastasis). In contrast to the previous principles a more active surgical therapy is advised by the authors in case of recurrence and metastases of colorectal cancers.
作者对77例复发性或转移性结直肠癌患者进行了治疗。针对分别因结肠癌和直肠癌进行的两种不同类型手术,讨论了择期手术的随访方案。针对不同类型的复发性和转移性肿瘤(吻合口复发、异时性肿瘤、局部复发、肝转移、肺转移、淋巴结转移和骨转移),详细讨论了作者所采用的诊断和治疗原则以及取得的结果。与以往的原则不同,作者建议对结直肠癌复发和转移采用更积极的手术治疗方法。