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Tiefes Rektumkarzinom

  • Conference paper
Verhandlungen der Deutschen Gesellschaft für Chirurgie

Part of the book series: Langenbecks Archiv für Chirurgie ((KONGRESSBAND,volume 1989))

  • 28 Accesses

Summary

After surgical resection of rectal carcinoma the R (residual tumor) classification and pTNM are independent prognostic factors. In patients with residual tumor, presence or absence of distant metastases influences prognosis. The pTNM-defined stage and substage is of prognostic influence for patients without residual tumor. In a study of 597 patients multivariate analysis was used to identify additional prognostic factors for individual substages. Similar studies on larger patient material are needed for further clarification of these prognostic factors.

Zusammenfassung

Nach operativer Entfernung von Rektumkarzinomen sind die R-(Residualtumor-)Klassifikation und pTNM als unabhängige Prognosefaktoren gesichert. Innerhalb der Patienten mit Residualtumor ist Vorhandensein oder Fehlen von Fernmetastasen, innerhalb der Patienten ohne Residualtumor das durch pTNM definierte Stadium und Substadium von Bedeutung. In einer Studie an 597 Patienten konnten durch multivariate Analyse in einzelnen Substadien zusätzliche unabhängige prognostische Faktoren identifiziert werden. Zur weiteren Klärung der Prognosefaktoren sind derartige Studien an größerem Material wünschenswert.

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Authors and Affiliations

  1. Abteilung für Klinische Pathologie, Chirurgischen Universitätsklinik Erlangen, Maximilians-platz, D-8520, Erlangen, Deutschland

    P. Hermanek, I. Guggenmoos-Holzmann & P. Büttner

  2. Institut für Medizinische Statistik und Informationsverarbeitung, Freie Universität Berlin, Hindenburgdamm 30, 1000, Berlin 45, Deutschland

    P. Hermanek, I. Guggenmoos-Holzmann & P. Büttner

  3. Klinik mit Poliklinik, Universität Erlangen, Maximiliansplatz, D-8520, Erlangen, Deutschland

    F. P. Gall (Chirurg.)

  4. Chirurgische Universitätsklinik Bonn, Venusberg, D-5300, Bonn, Deutschland

    F. Stelzner

  5. Chirurgische Universitätsklinik Heidelberg, Kirschnerstraße 1, D-6900, Heidelberg 1, Deutschland

    Ch. Herfarth

  6. Chirurgische Klinik, St. Johannes-Hospital, Johannesstraße 9-13, D-4600, Dortmund, Deutschland

    L. Jostarndt

  7. St. Mark’s Hospital, City Road, GB-London, EC 1 CV 2 PS, Großbritannien

    R. J. Nicholls

  8. Chirurgische Universitätsklinik Freiburg i.Br., Hugstetterstr. 55, D-7800, Freiburg, Deutschland

    E. H. Farthmann, G. Kirste & G. Ruf

  9. Chirurgische Klinik Köln-Merheim, II. Lehrstuhl für Chirurgie, Universität zu Köln, Ostmerheimer Str. 200, D-5000, Köln 91, Deutschland

    R. Mennigen, L. Köhler & H. Troidl

  10. Chirurgische Klinik und Poliklinik im Klinikum Steglitz, Freien Universität Berlin, Abteilung für Allgemein-, Gefäß- und Thoraxchirurgie, Hindenburgdamm 30, D-1000, Berlin 45, Deutschland

    R. Häring, Th. Karavias & J. Boese-Landgraf

  11. Chirurgische Universitätsklinik Würzburg, Deutschland

    E. Kern & W. Düsel

  12. Abt. f. Allg. Chirurgie, Chirurgische Univ.-Klinik, Hufelandstr. 55, D-4300, Essen 1, Deutschland

    F. W. Eigler

Authors
  1. P. Hermanek
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  2. I. Guggenmoos-Holzmann
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  3. P. Büttner
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  4. F. P. Gall
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  5. F. Stelzner
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  6. Ch. Herfarth
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  7. L. Jostarndt
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  8. R. J. Nicholls
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  9. E. H. Farthmann
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  12. R. Mennigen
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  13. L. Köhler
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  14. H. Troidl
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  15. R. Häring
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  16. Th. Karavias
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  17. J. Boese-Landgraf
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  18. E. Kern
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  19. W. Düsel
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  20. F. W. Eigler
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Editors and Affiliations

  1. Steinbacher Hohl 28, D-6000, Frankfurt a.M. 90, Deutschland

    E. Ungeheuer (Generalsekretär d. Deutschen Gesellschaft f. Chirurgie) (Generalsekretär d. Deutschen Gesellschaft f. Chirurgie)

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Hermanek, P. et al. (1989). Tiefes Rektumkarzinom. In: Ungeheuer, E. (eds) Verhandlungen der Deutschen Gesellschaft für Chirurgie. Langenbecks Archiv für Chirurgie, vol 1989. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-48162-8_26

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  • DOI: https://doi.org/10.1007/978-3-642-48162-8_26

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