دورية أكاديمية

The anatomical substrate for a difference in surgical approach to rectal cancer in male and female patients.

التفاصيل البيبلوغرافية
العنوان: The anatomical substrate for a difference in surgical approach to rectal cancer in male and female patients.
المؤلفون: Verschueren RC; Department of Surgery, Cancer Centre North Netherlands, Groningen, The Netherlands., Mulder NH, Van Loon AJ, De Ruiter AJ, Szabo BG
المصدر: Anticancer research [Anticancer Res] 1997 Jan-Feb; Vol. 17 (1B), pp. 637-41.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: International Institute of Anticancer Research Country of Publication: Greece NLM ID: 8102988 Publication Model: Print Cited Medium: Print ISSN: 0250-7005 (Print) Linking ISSN: 02507005 NLM ISO Abbreviation: Anticancer Res Subsets: MEDLINE
أسماء مطبوعة: Publication: Attiki, Greece : International Institute of Anticancer Research
Original Publication: Athens, Greece : Potamitis Press
مواضيع طبية MeSH: Sex Characteristics*, Neoplasm Recurrence, Local/*epidemiology , Pelvis/*anatomy & histology , Rectal Neoplasms/*surgery, Female ; Follow-Up Studies ; Humans ; Male ; Pelvis/surgery ; Sex Factors
مستخلص: This review emphasizes' gender related anatomical differences warranting a difference in surgical approach to the problem of rectal cancer in men and women. Differences in the anatomy of the bony pelvis, the pelvic viscera and the lymphatics of the rectum, inspired the authors to extend the margins of the rectal resection in the anterior plane in female patients. Between 1978 and 1992 a rectal resection was carried out for cancers confined to the pelvis in 158 patients. Of these patients 152 were available for review, 95 male and 57 female. In 24 out of 57 female patients extension of the rectal resection towards the genital tract by en bloc excision of posterior vaginal wall and/or uterus was considered necessary to be confident about obtaining tumour free margins. After a median follow-up of 8 years the risk of local recurrence and cancer related death were significantly lower in female patients.
Number of References: 18
تواريخ الأحداث: Date Created: 19970101 Date Completed: 19970328 Latest Revision: 20051116
رمز التحديث: 20221213
PMID: 9066593
قاعدة البيانات: MEDLINE