Surgical management of locally recurrent rectal cancer |
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Authors: | PM Sagar JH Pemberton |
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Affiliation: | Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota, USA. |
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Abstract: | The surgical management of locally recurrent rectal cancer may involve major procedures and is not for the faint-hearted. Nevertheless, such treatment is preferable to chemotherapy and radiotherapy; the latter will fail over a period of months during which the patient is likely to experience intractable pain. Radical surgery offers good palliation and a better quality of life. Survival is prolonged by such operations which may be curative in up to one-third of patients. Nevertheless, surgeons must be realistic in their assessment of and discussions with patients. |
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