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Cosmic Publishing and a great selection of similar New, .Prophylactic irradiation in rectal cancer. This study reports the resultsof prophylactic irradiation in 2121 patients with rectal cancer (stage A2 or C according to the UICC) treated from 1957-1969.
There were 2048 (96%) non-smokers, 81 (4%) ex-smokers, and 2 (1%) smokers. Before prophylactic irradiation the tumors
were considered to be unfavourably localized in 43.8% of the patients, unfavourably fixed in 14.6%, and unfavourably coveredby a sphincter muscle in 31.6%. Irradiation was undertaken after LPR-operation in 27.6%, after APR-operation in 28.8% andafter APR-operation with lombo- or perineal infiltration in 44.6% of the cases. The technique employed was external (190%),
partial (7.5%), or total (7.5%) pelvic irradiation depending on the stage of the tumor. Following irradiation, local recurrencesdeveloped in 42 (2.0%) patients; the incidence of local recurrences following LPR-operation was significantly lower than thatafter APR-operation (P less than 0.01). Remission duration was less than 9 months in 63.6% and more than 12 months in
26.6%. Among patients with unfavourably fixed tumors the incidence of local recurrences was high regardless of irradiation(37.1%), as compared with that in other cases (2.6%). The incidence of distant metastases following irradiation was the same asthat following non-irradiation (11.1%) in patients with unfavourably fixed tumors and was significantly lower than that
following non-irradiation in all other cases. Rectal cancer with unfavourably localized and fixed tumors is gravely threatening
and should be treated by prophylactic irradiation. With regard to unfavourably covered tumors, in the cases treated by completeor partial prophylactic irradiation, the results were satisfactory, while the incidence of local recurrences was relatively high.
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