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KMID : 0362919840020020229
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Journal of the Korean Society for Therapeutic Radiology and Oncology
1984 Volume.2 No. 2 p.229 ~ p.235
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Result of Post Operative Radiotherapy of Carcinoma of the Rectum
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Huh Seung-Jae
Ha Sung-Whan
Park Charn-Il
Choi Kook-Jin
Kim Jin-Pok
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Abstract
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Surgery remains the mainstay in the management of carcinoma of the rectum.
However, Local recurrence and systemic metastasis remain the challenge. It appears that post operative radiotherapy has a very definite role in the reduction of local recurrence.
Ninety two patients of carcinoma of the rectum after curative surgery received post operative radiotherapy 5,000 rad/5~6 weeks to whole pelvis at the Department of Therapeutic Radiology, Seoul National University Hospital between March 1979 and December 1982.
Fifty three percent of patients pf patients show modified Astler-Coller stage C2.
Actuarial disease free survival rate of rectal cancer was: stage B1,2 75%, stage C1 81% stage C2 39%, and stage C3 20%. Twelve percent shows local recurrence and distant metastasis occurred in 28%. Prognostic significance of nodal metastasis is also analyzed. Incidence of small bowel obstruction, requiring surgery, is 8%, occurring between 5th month to 12th month after operation.
It is suggested that post operative radiotherapy of the rectal cancer following curative surgery has a significant role in the reduction of local recurrence.
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