Founded in 1993
  Year: 1998 | Volume: 6 | Issue: 1 | Pages: 21-22
  Actual Problem
  THE IMPORTANCE OF PERIRECTAL LYMPH NODES INVOLVEMENT IN THE MANAGEMENT OF ANAL CARCINOMA
Eva PAPADOPOULOU, Pascale ROMESTAING, Francoise MORNEX, Jean Claude CENNI, Louis AYZAC, Jean Piere GERARD
  DOI:
  Abstract:
  To evaluate the incidence, the treatment and the prognostic impact of perirectal lymph node in anal canal carcinoma (ACC). Between 1983-1993, 95 patients with ACC were treated in pilot protocol combining Radiotherapy and 5FU CDDP A perirectal lymph node metastasis was found in 36 patients (38%) either by digital rectal examination (DRE) or endorectal sonography (ERS). The 5 year overall survival was 84% for the entire series. It was 88% vs 76% for No or N1-3 patients ERS was more sensitive and more specific than DRE to detect perirectal lymph node metastasis. An accurate assessment of the lymph node of the mesorectum is essential for a good staging of ACC. Concomitant Radio-Chemotherapy is able to control these lymph nodes in most of the cases.
  Key words: Anal canal carcinoma; Radiotherapy; Chemotherapy; Lymph node metastasis
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Founder, owner and publisher: Oncology Institute of Vojvodina, Serbia
Online since 1997 (Abstracts only); 2000 (Abstracts and Full text)
ISSN: 0354-7310 eISSN: 1450-9520