Preview

Koloproktologia

Advanced search

LOCALLY-ADVANCED SIGMOID CANCER WITH CARCINOMATOSIS AND MULTIPAY RECURRENCES. 15 YEARS OF OBSERVATION

https://doi.org/10.33878/2073-7556-2018-0-1-57-62

Abstract

Peritoneal carcinomatosis is a major reason for treatment failure. However, combination of «aggressive» surgical approach with chemotherapy allows achieving good results. In this clinical case, a locally advanced tumor was presented with large carcinomatous node in anomentum. Cytoreductive surgery with a complete cytoreduction in combination with intra-abdominal chemotherapy prevented generalization of carcinomatosis. Subsequently, the patient underwent three surgeries for repeated local recurrence of colon cancer. A 15-year period of observation of the patient suggests that this approach is promising, which significantly increases the length of patients life expectancy.

About the Authors

S. I. Achkasov
State Scientific Center of Coloproctology
Russian Federation


M. S. Likhter
State Scientific Center of Coloproctology
Russian Federation


O. I. Sushkov
State Scientific Center of Coloproctology
Russian Federation


I. V. Nazarov
State Scientific Center of Coloproctology
Russian Federation


References

1. Каприн, А.Д. Состояние онкологической помощи населению России в 2015 году / А.Д.Каприн, В.В.Старинский, Г.В.Петрова // М.: МНИОИ им. П.А.Герцена филиал ФГБУ «НМИРЦ» Минздрава России. - 2016. - 236 с.

2. Ачкасов, С.И. Возможности комбинированного лечения распространенного рака сигмовидной кишки с обширным поражением мочевого пузыря / С.И.Ачкасов, М.С.Лихтер // Колопроктология. -2009. - № 4 (30). - с. 51-53.

3. Шелыгин, Ю.А. Повторные циторедуктивные операции с внутрибрюшной интраоперационной химиотерапией у больных раком толстой кишки с рецидивом перитонеального карциноматоза. / Ю.А.Шелыгин, О.И.Сушков, С.И.Ачкасов и соавт. // Колопроктология. - 2017. - № 4 (62) - с. 67-73

4. Akiyoshi, T. Prognostic factors for survival after salvage surgery for locoregional recurrence of colon cancer / T.Akiyoshi, Y.Fujimoto, T.Konishi et al. // American Journal of Surgery. - 2011. - № 6 (201). -p. 726-733.

5. Bouchard, P. Management of Recurrent Rectal Cancer / P.Bouchard, J.Efron // Annals of Surgical Oncology. - 2010. - № 5 (17). - p. 1343-1356.

6. Bowne, W.B. Operative salvage for locoregional recurrent colon cancer after curative resection: An analysis of 100 cases / W.B.Bowne, B.Lee, W.D.Wong et al. // Diseases of the Colon and Rectum. - 2005. - № 5 (48). - p. 897-909.

7. Chesney, T.R., Outcomes of resection for locoregionally recurrent colon cancer: A systematic review / T.R.Chesney, A.Nadler, S.A.Acuna et al. // Surgery. - 2016. - № 1 (160). - p. 54-66.

8. Elferink, M. Prognostic factors for locoregional recurrences in colon cancer. / M.Elferink, O.Visser, T.Wiggers et al. // Annals of surgical oncology. -2012. - № 7 (19). - p. 2203-11.

9. Harji, D.P. Surgical resection of recurrent colonic cancer. / D.P.Harji, P.M.Sagar, K.Boyle et al. // The British journal of surgery. - 2013. - № 7 (100). -p. 950-958.

10. Kogler, P. Therapeutic Management and Outcome of Locoregional Recurrence After Curative Colorectal Cancer Therapy, a Single-Center Analysis / P.Kogler, R.Kafka-Ritsch, M.Sieb et al. // Journal of Gastrointestinal Surgery. - 2014. - № 11 (18). -p. 2026-2033.

11. Kruschewski, M. Locally recurrent colorectal cancer: results of surgical therapy. / M.Kruschewski, M.Ciurea, S.Lipka et al. // Langenbeck’s archives of surgery / Deutsche Gesellschaft für Chirurgie. - 2012. - № 7 (397). - p. 1059-67.

12. Pita-Fernandez, S. Intensive follow-up strategies improve outcomes in nonmetastatic colorectal cancer patients after curative surgery: a systematic review and meta-analysis / S.Pita-Fernandez, M.Alhayek-Ai, C.Gonzalez-Martin et al. // Annals of Oncology. - 2015. - № 4 (26). - p. 644-656.

13. Read, T.E. Locoregional recurrence and survival after curative resection of adenocarcinoma of the colon / T.E.Read, M.G.Mutch, B.W.Chang et al. // Journal of the American College of Surgeons. - 2002. -№ 1 (195). - p. 33-40.

14. Sjövall, A. Loco-regional recurrence from colon cancer: a population-based study. / A.Sjövall, F.Granath, B.Cedermark et al. // Annals of surgical oncology. - 2007. - № 2 (14). - p. 432-40.

15. Torre, L.A. Global cancer statistics, 2012. / L.A.Torre, F.Bray, R.L.Siegel et al. // CA: a cancer journal for clinicians. - 2015. - № 2 (65). - p. 87-108.

16. Yun, H.R. Local recurrence after curative resection in patients with colon and rectal cancers / H.R.Yun, L.J.Lee, J.H.Park et al. // International Journal of Colorectal Disease. - 2008. - № 11 (23). - p. 1081-1087.

17. Zhao, J. Patterns and prognosis of locally recurrent rectal cancer following multidisciplinary treatment. / J.Zhao, C.-Z.Du, Y.-S.Sun et al. // World journal of gastroenterology. - 2012. - № 47 (18). - p. 7015-20.


Review

For citations:


Achkasov S.I., Likhter M.S., Sushkov O.I., Nazarov I.V. LOCALLY-ADVANCED SIGMOID CANCER WITH CARCINOMATOSIS AND MULTIPAY RECURRENCES. 15 YEARS OF OBSERVATION. Koloproktologia. 2018;(1):57-62. (In Russ.) https://doi.org/10.33878/2073-7556-2018-0-1-57-62

Views: 1129


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2073-7556 (Print)
ISSN 2686-7303 (Online)