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While the
recurrence of rectal cancer usually occurs within the first five
years after treatment, researchers reported in the European Journal
of Surgical Oncology that doctors increasingly are diagnosing
patients with later recurrence.
The researchers
analyzed data on 978 patients with invasive stage I-III rectal
cancer who underwent surgery between 1978 and 1990.
They reported
that while nine out of 10 recurrences take place within the first
five years, nine percent of the recurrences were discovered later
than that with one diagnosed more than 12 years after initial
treatment.
They said
the later recurrences were more likely to be found in patients
who had lower grade cancer. They said recurrence also was generally
diagnosed "significantly earlier in patients undergoing regular
follow-up."
"Long-term
follow-up beyond five years demonstrates increasing numbers of
late recurrences," the researchers concluded.
Other
Sources: European Journal of Surgical Oncology
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