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Answer to preoperative chemie radiation in locally advanced rectum cancer; Respuesta a quimioradiacion preoperatoria en cancer de recto localmente avanzado

Thesis/Dissertation:

Abstract

Study the pre-operative combined therapy effect in the treatment of the rectum cancer cases of the Servicio de Cirugia General 2 of the Hospital Mexico. The study covers since January of 2003 until December of 2005. It has like specific objectives to analyze the effect in the tumour stages, the sphincters preservation and the recurrence. In the conclusions, it notes that the pre-operative chemie-radiation in the rectum cancer is indicated in II and III stages, in which it has showed most advantages for the patient. It describes that the time between the end of pre-operative combined treatment and the surgery must has at least six weeks to guarantee the effect in the tumour and to reduce the treatment toxicity. It concludes besides, that the complication rate after the pre-operative combined therapy and the total meso rectum excision is approximately of 33%; however, the pelvic septic complications can reduce with an ostomy of protection. It focus that the technique of sphincters preservation has showed to be effective and secure if it does a previous selection to the patients in appropriate form. To get an suitable stages must count with trans rectum endoscopic ultrasound and a tomography of suitable quality. It concludes,  More>>
Authors:
Villegas Mendez, Silvia [1] 
  1. Costa Rica
Publication Date:
Jul 01, 2006
Product Type:
Thesis/Dissertation
Resource Relation:
Other Information: TH: Thesis (Posgrado en especialidades medicas); Figs., tabs., ills
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; CHEMOTHERAPY; COMBINED THERAPY; DIAGNOSTIC TECHNIQUES; LOCAL IRRADIATION; MEDICAL RECORDS; NEOPLASMS; RADIOTHERAPY; RECTUM; SURGERY; SURVIVAL TIME; TOXICITY
OSTI ID:
20924553
Research Organizations:
Universidad de Costa Rica, Sistema de Estudios de Postgrado, Especialidades Medicas (Costa Rica)
Country of Origin:
Costa Rica
Language:
Spanish
Other Identifying Numbers:
TRN: CR0700008083320
Availability:
Available from Biblioteca Luis Demetrio Tinoco, Universidad de Costa Rica
Submitting Site:
INIS
Size:
47 pages
Announcement Date:
Sep 29, 2007

Thesis/Dissertation:

Citation Formats

Villegas Mendez, Silvia. Answer to preoperative chemie radiation in locally advanced rectum cancer; Respuesta a quimioradiacion preoperatoria en cancer de recto localmente avanzado. Costa Rica: N. p., 2006. Web.
Villegas Mendez, Silvia. Answer to preoperative chemie radiation in locally advanced rectum cancer; Respuesta a quimioradiacion preoperatoria en cancer de recto localmente avanzado. Costa Rica.
Villegas Mendez, Silvia. 2006. "Answer to preoperative chemie radiation in locally advanced rectum cancer; Respuesta a quimioradiacion preoperatoria en cancer de recto localmente avanzado." Costa Rica.
@misc{etde_20924553,
title = {Answer to preoperative chemie radiation in locally advanced rectum cancer; Respuesta a quimioradiacion preoperatoria en cancer de recto localmente avanzado}
author = {Villegas Mendez, Silvia}
abstractNote = {Study the pre-operative combined therapy effect in the treatment of the rectum cancer cases of the Servicio de Cirugia General 2 of the Hospital Mexico. The study covers since January of 2003 until December of 2005. It has like specific objectives to analyze the effect in the tumour stages, the sphincters preservation and the recurrence. In the conclusions, it notes that the pre-operative chemie-radiation in the rectum cancer is indicated in II and III stages, in which it has showed most advantages for the patient. It describes that the time between the end of pre-operative combined treatment and the surgery must has at least six weeks to guarantee the effect in the tumour and to reduce the treatment toxicity. It concludes besides, that the complication rate after the pre-operative combined therapy and the total meso rectum excision is approximately of 33%; however, the pelvic septic complications can reduce with an ostomy of protection. It focus that the technique of sphincters preservation has showed to be effective and secure if it does a previous selection to the patients in appropriate form. To get an suitable stages must count with trans rectum endoscopic ultrasound and a tomography of suitable quality. It concludes, also, in intervened tumours after of neo-adjuvancy they don't need free distal margins of illness higher to 2 cm. The total meso rectum excision is the updated surgical recommendation in the rectum cancer. [Spanish] Estudia el efecto de la terapia combinada preoperatoria en el tratamiento de los casos de cancer rectal del Servicio de Cirugia General 2 del Hospital Mexico; desde enero del 2003 hasta diciembre del 2005. Tiene como objetivos especificos analizar el efecto en el estadiaje del tumor, la preservacion de esfinteres y la recurrencia. Entre las conclusiones anota que la quimioradiacion preoperatoria en el cancer rectal esta indicada en estadios II y III, en los cuales ha demostrado mayores ventajas para el paciente. Describe que el tiempo entre la finalizacion del tratamiento combinado preoperatorio y la cirugia debe de ser al menos seis semanas para garantizar el efecto en el tumor y disminuir la toxicidad del tratamiento. Concluye, ademas, que la tasa de complicacion posterior a la terapia combinada preoperatoria y la escision mesorectal total es de aproximadamente 33%; sin embargo, las complicaciones septicas pelvicas pueden disminuirse con una ostomia de proteccion. Enfoca que la tecnica de preservacion de esfinteres ha demostrado ser segura y efectiva si se hace una seleccion previa de los pacientes en forma adecuada. Para lograr un estadiaje adecuado debe contarse con un ultrasonido endoscopico transrectal y una tomografia de adecuada calidad. Concluye, tambien, que en tumores intervenidos posterior a neoadyuvancia no se necesitan margenes distales ibres de enfermedad mayores a 2 cm. La escision mesorectal total es la recomendacion quirurgica actual de manejo en el cancer rectal.}
place = {Costa Rica}
year = {2006}
month = {Jul}
}