Abstract
The prognosis of colorectal cancer following curative surgery has remained unchanged over the past 40 years. In a patient collective comprising all Dukes stages, the 5-year-survival rates never exceeded 50% [1, 2]. Surgical progress has been restricted to the development of sphincter-saving procedures for rectal cancer at low levels [3–6]. However, an improvement in the prognosis of colorectal cancer patients should not be expected from surgery alone. The value of perioperative radiation therapy is as yet uncertain, and its use is confined to rectal cancer [7]. At present, chemo- and immunotherapy are the essential modalities in trials of adjuvant treatment of colorectal cancer. However, most of the therapy schemes published so far have not led to significantly improved, long-term survival times following either radical or palliative surgery of colorectal cancer [8, 9]. Nonetheless, the sporadic reports of successes with respect to the improvement of survival time [10–12] have encouraged us to investigate the effect of chemotherapy and immunotherapy as adjunctive treatment in a prospective randomized study of patients operated on in one medical center.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Dukes CE (1944) The surgical pathology of rectal cancer. Proc Roy Soc Med 37: 131–144
Goligher JC (1975) Surgery of the anus, rectum and colon. Bailliere Tindall, London
Dixon CF (1939) Surgical removal of lesions occurring in the sigmoid and rectosigmoid. Am J Surg 46: 12
Localio SA, Eng K, Gouge TH, Ranson JHC (1978) Abdomino-sacral resection for carcinoma of the midrectum: 10 years’ experience. Ann Surg 188: 475–480
Parks AG, Percy JP (1982) Resection and sutured colo-anal anastomosis for rectal carcinoma. Br J Surg 69: 301–304
Heald RJ, Leicester RJ (1981) The low-stapled anastomosis. Dis Colon Rectum 24: 437–444
Scherer E, Schulz U (1981) Die Stellung der Strahlentherapie bei der Behandlung des Rektum-karzinoms. In: Eigler FW, Beersiek F (eds) Aktuelle Probleme der kolorektalen Tumorchirurgie. Schattauer, Stuttgart
Carter SK (1976) Large-bowel cancer — The current status of treatment. JNCI 56: 3–10
Rosato FE, Brown SA, Miller EE, Rosato EF, Mullis WF, Johnson J, Moskovitz A (1974) Neuraminidase immunotherapy of tumors in man. Surg Gyn Obstet 139: 675–682
Moertel CG (1975) Clinical management of advanced gastrointestinal cancer. Cancer 36: 675–682
Mavligit GM, Gutterman JV, Malahy MA, Burgess MA, McBride CM, Iubert A (1977) Adjuvant immunotherapy and chemoimmunotherapy in colorectal cancer (Dukes class C). Cancer 40: 2726–2730
Taylor I, Brooman P, Rowling JT (1977) Adjuvant liver perfusion in colorectal cancer: initial results of a clinical trial. Br Med J 2: 1320–1322
Pocock SJ, Simon R (1975) Sequential treatment assignment with balancing for prognostic factors in the controlled clinical trial. Biometrics 31: 103–116
Schemper M (1986) Randomisierung für kontrollierte Therapiestudien. Wien Klin Wschr 94: 604–609
Seiler FR, Sedlacek HH (1978) Chessboard vaccination: A pertinent approach to immunotherapy of cancer with neuraminidase and tumor cells. In: Rainer H, Borberg H, Mishler JM, Schäger U (eds) Immunotherapy of malignant diseases. Schattauer, Stuttgart
Rainer H, Kovats E, Lehmann HG, Micksche M, Rauhs R, Sedlacek HH, Seide W, Schemper M, Schiessel R, Schweiger B, Wunderlich M (1981) Effectiveness of postoperative adjuvant therapy with cytotoxic chemotherapy (cytosine arabinoside, mitomycin C, 5-fluorouracil) or immunotherapy (neuraminidase-modified allogenic cells) in the prevention of recurrence of Dukes B and C colon cancer. In: Klein HO (ed) Chemotherapy and radiotherapy of gastrointestinal tumors (Recent results in cancer research, vol 79 ). Springer, Berlin Heidelberg New York, pp 41–47
WHO Handbook for reporting results of cancer treatment. WHO offset publication Nr 48. World Health Organisation, Geneva 1979
Schiessel R, Wunderlich M, Kovats E, Rath T, Rauhs R (1983) Die Therapie des Lokalrezidivs nach kolorektalem Karzinom. Wien Klin Wschr 95: 295–297
Wunderlich M, Schiessel R, Kovats E, Rauhs R, Seidl W, Imhof H, Hajek P (1983) Der Wert der Computertomographie des kleinen Beckens zur frühzeitigen Diagnose von Lokalrezidiven nach operiertem Rektumkarzinom. Wien Klin Wschr 95: 291–294
Kaplan EL, Meier P (1958) Nonparametric estimation from incomplete observations. J Am Statist Ass 53: 457–481
Breslow NE (1970) A generalized Kruskal-Wallis test for comparing K samples subject to unequal patterns of censorship. Biometrika 57: 579–594
Kendall MG (1962) Rank correlation methods. Griffin, London
Mann HB, Whitney DR (1947) On a test of whether one of two random variables is stochastically larger than the other. Ann Math Statist 18: 50–60
Wunderlich M, Schiessel R, Rainer H, Rauhs R, Kovats E, Schemper M, Dittrich C, Micksche M, Sedlacek HH (1985) Effect of adjuvant chemo- or immunotherapy on the prognosis of colorectal cancer operated for cure. Br J Surg 72: 107–110
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1989 Springer-Verlag Berlin · Heidelberg
About this paper
Cite this paper
Schiessel, R. (1989). Tumor Vaccination in the Treatment of Colorectal Cancer. In: Beger, H.G., Büchler, M., Reisfeld, R.A., Schulz, G. (eds) Cancer Therapy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-73721-3_16
Download citation
DOI: https://doi.org/10.1007/978-3-642-73721-3_16
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-73723-7
Online ISBN: 978-3-642-73721-3
eBook Packages: Springer Book Archive