Kiene S
Zentralbl Chir. 1985;110(2-3):66-71.
There is an increase of colorectal cancer incidence in the GDR. The rate of early diagnosis has not improved and the 5-year-survival rate has remained constant since 20 years. A multidisciplinary approach is mandatory: modern staging, typing, grading; screening in high-risk groups; therapy of the adenoma-cancer-sequence; adjuvant tumour therapy; improvement in preoperative care and surgical technique; advance in therapy of local recurrences and metastases; improved organization in postoperative care. Own experiences in these different fields with 154 patients suffering from rectal cancer are dealt with.
民主德国的结直肠癌发病率有所上升。早期诊断率并未提高,自20年来5年生存率一直保持不变。多学科方法是必不可少的:现代分期、分型、分级;高危人群筛查;腺瘤-癌序列治疗;辅助肿瘤治疗;术前护理和手术技术的改进;局部复发和转移治疗的进展;术后护理组织的改善。介绍了在这些不同领域对154例直肠癌患者的自身经验。