Prognosis after surgery in patients with incurable rectal cancer: A population-based study
Article first published online: 6 DEC 2005
Copyright © 1996 British Journal of Surgery Society Ltd.
British Journal of Surgery
Volume 83, Issue 8, pages 1116–1120, August 1996
How to Cite
Mahteme, H., Påhlman, L., Glimelius, B. and Graf, W. (1996), Prognosis after surgery in patients with incurable rectal cancer: A population-based study. Br J Surg, 83: 1116–1120. doi: 10.1002/bjs.1800830827
- Issue published online: 6 DEC 2005
- Article first published online: 6 DEC 2005
- Manuscript Accepted: 16 NOV 1995
- Swedish Cancer Society. Grant Number: 3583-B94-01PAB
In a defined population between 1973 and 1992 151 patients with irresectable metastatic or local rectal cancer were identified. Eighty-one patients underwent resection of the primary tumour (group 1) whereas the primary tumour was left in situ in 70 patients (group 2). During the same time period, 444 patients underwent curative resection. The median survival was 7.5 months in group 1, and 3.5 and 1.9 months for surgically and non-surgically treated patients respectively in group 2. A colostomy for intestinal obstruction became necessary in 12 per cent of the patients with a retained primary tumour. Bilateral hepatic involvement, abnormal liver function test results, peritoneal growth or abdominal lymph node metastases correlated with a short survival (P < 0.01). These results support a selective approach to patients with incurable rectal cancer.