Has the QUASAR study on Dukes' B colorectal cancer impacted on rates of post operative adjuvant chemotherapy?

2008 ◽  
Vol 34 (10) ◽  
pp. 1168
Author(s):  
Andrew Wigham ◽  
S. Irukulla ◽  
L. Malhas ◽  
S. Essapen ◽  
D. Donaldson
Swiss Surgery ◽  
2003 ◽  
Vol 9 (1) ◽  
pp. 3-7 ◽  
Author(s):  
Gervaz ◽  
Bühler ◽  
Scheiwiller ◽  
Morel

The central hypothesis explored in this paper is that colorectal cancer (CRC) is a heterogeneous disease. The initial clue to this heterogeneity was provided by genetic findings; however, embryological and physiological data had previously been gathered, showing that proximal (in relation to the splenic flexure) and distal parts of the colon represent distinct entities. Molecular biologists have identified two distinct pathways, microsatellite instability (MSI) and chromosomal instability (CIN), which are involved in CRC progression. In summary, there may be not one, but two colons and two types of colorectal carcinogenesis, with distinct clinical outcome. The implications for the clinicians are two-folds; 1) tumors originating from the proximal colon have a better prognosis due to a high percentage of MSI-positive lesions; and 2) location of the neoplasm in reference to the splenic flexure should be documented before group stratification in future trials of adjuvant chemotherapy in patients with stage II and III colon cancer.


Author(s):  
Kosuke Mima ◽  
Nobutomo Miyanari ◽  
Keisuke Kosumi ◽  
Takuya Tajiri ◽  
Kosuke Kanemitsu ◽  
...  

2021 ◽  
Author(s):  
Richard L. Martin ◽  
Gretchen C. Edwards ◽  
Lauren R. Samuels ◽  
Cathy Eng ◽  
Christianne L. Roumie

2000 ◽  
Vol 118 (4) ◽  
pp. A1397
Author(s):  
Anne Marie Lennon ◽  
Ann White ◽  
Kathy Sheehan ◽  
Judith Reidy ◽  
James J. Murphy ◽  
...  

Surgery ◽  
2007 ◽  
Vol 142 (5) ◽  
pp. 741-748 ◽  
Author(s):  
Akiko Isogai ◽  
Masaki Nagaya ◽  
Hiromitsu Matsuoka ◽  
Taiji Watanabe ◽  
Satoshi Tsukikawa ◽  
...  

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
P. B. Salemans ◽  
G. F. Vles ◽  
S. A. F. Fransen ◽  
R. M. Smeenk

Colorectal cancer is a rising problem, as the incidence increases with age. In most cases the goal of treatment is oncological resection followed by adjuvant chemotherapy in order to optimize the survival. In this case report we present a 93-year-old patient with a sigmoid carcinoma inside an irreducible inguinal hernia, which was diagnosed prior to surgery. We chose to perform a sigmoid resection through an oblique inguinal incision as a safer alternative to laparotomy.


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