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In patients
with advanced rectal cancer, the "completeness" of the
surgical removal of the areas infiltrated by the cancer is key
to a successful outcome, according to Japanese researchers.
The researchers
from the National Cancer Center Hospital in Tokyo reported in
the journal Colorectal Disease on their experiences with 128 patients
who were treated for advanced rectal cancer between 1985 and 1998.
The rectal
cancer in these patients had most frequently spread to the bladder,
followed by the prostate and vagina.
In two-thirds
of these patients, the researchers reported, the rectal cancer
had spread to the urinary tract. Half of these were treated with
bladder-sparing surgery.
In these patients,
"overall 5-year disease-free survivial was 57 percent,"
the researchers reported.
"Completeness
of [surgical removal of the cancer] is the essential factor influencing
oncological outcome," the researchers concluded.
Other
sources: Europeah Journal of Cancer Care
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