Original scientific paper
Surgical treatment for polypoid carcinoma of the colorectum in The University Hospital for Tumors, Zagreb, Croatia
Miroslav Lesar
; Department of Surgical Oncology, University Hospital for Tumors, Zagreb, Croatia
Stjepan Juzbašić
; Department of Surgical Oncology, University Hospital for Tumors, Zagreb, Croatia
Mladen Stanec
; Department of Surgical Oncology, University Hospital for Tumors, Zagreb, Croatia
Danko Velimir Vrdoljak
; Department of Surgical Oncology, University Hospital for Tumors, Zagreb, Croatia
Tomislav Orešić
; Department of Surgical Oncology, University Hospital for Tumors, Zagreb, Croatia
Abstract
Treatment of polypoid carcinoma raises the problem of invasiveness to be solved by a competent pathologist. Upon diagnosis of the invasiveness, a radical surgical procedure (resection of the colorectum) is indicated. A problem that occurs is a problem of adequate resection margins, or marking the primary tumor bed (1, 2). In the colorectal resection segment, an ulcer may persist in the area of polypectomy, although without pathohistological signs of malignancy.
In 7 patients treated in the University Hospital for Tumors, Zagrb, Croatia, discrete ulcer nishes were verified in resection segments of the colorectum. In none of the patients, pathohistological signs of the primary tumor were found. In 3/7 patients malignant cells in the regional lymph nodes were verified. A year after the surgery, metastatic transformations of the liver were found in 1/7 patients.
Keywords
polyp of the rectum; polypoid carcinoma of the rectum
Hrčak ID:
281795
URI
Publication date:
3.12.2003.
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