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Description
  • Aim: The rate of rectal cancer locoregional recurrence following radical surgery varies from 4% to 33%. Though the causes are unclear, likely factors include microscopic tumor residues in the lymphatics, positive resection margins and exfoliation of tumor cells and their subsequent intraluminar spread during operation. Other significant factors include type and technique of surgical procedure. Recently, it has been demonstrated that local recurrence may also be associated with the biological behaviour of the tumor and/or with the composition of the cellular microenvironment which creates optimal conditions for the growth and spread of tumor cells. Case report: The presented case here is interesting because the tumour recurred early following a curative surgical procedure with negative resection margins, without positive lymph nodes, without infiltration of the pelvic wall and without distant metastases. Conclusion: In patients with a determined risk of genetically altered tumor field encompassing epithelial or stromal changes, a different treatment strategy, including gene therapy, anti-inflammatory or anti-angiogenic therapy should be chosen to minimize increased tumor risk.
  • Aim: The rate of rectal cancer locoregional recurrence following radical surgery varies from 4% to 33%. Though the causes are unclear, likely factors include microscopic tumor residues in the lymphatics, positive resection margins and exfoliation of tumor cells and their subsequent intraluminar spread during operation. Other significant factors include type and technique of surgical procedure. Recently, it has been demonstrated that local recurrence may also be associated with the biological behaviour of the tumor and/or with the composition of the cellular microenvironment which creates optimal conditions for the growth and spread of tumor cells. Case report: The presented case here is interesting because the tumour recurred early following a curative surgical procedure with negative resection margins, without positive lymph nodes, without infiltration of the pelvic wall and without distant metastases. Conclusion: In patients with a determined risk of genetically altered tumor field encompassing epithelial or stromal changes, a different treatment strategy, including gene therapy, anti-inflammatory or anti-angiogenic therapy should be chosen to minimize increased tumor risk. (en)
Title
  • Unusual recurrent rectal carcinoma: A cancer field theory viewpoint
  • Unusual recurrent rectal carcinoma: A cancer field theory viewpoint (en)
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  • Unusual recurrent rectal carcinoma: A cancer field theory viewpoint
  • Unusual recurrent rectal carcinoma: A cancer field theory viewpoint (en)
skos:notation
  • RIV/61989592:15510/14:33150605!RIV15-GA0-15510___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • P(GAP304/10/1070)
http://linked.open...iv/cisloPeriodika
  • 3
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http://linked.open...aciTvurceVysledku
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  • 52053
http://linked.open...ai/riv/idVysledku
  • RIV/61989592:15510/14:33150605
http://linked.open...riv/jazykVysledku
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  • cellular microenvironment; recurrence; rectal cancer (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • CZ - Česká republika
http://linked.open...ontrolniKodProRIV
  • [B4186B1E00D7]
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  • Biomedical Papers-Olomouc
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http://linked.open...ichTvurcuVysledku
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http://linked.open...v/svazekPeriodika
  • 158
http://linked.open...iv/tvurceVysledku
  • Brychta, Tomáš
  • Skalický, Pavel
  • Zbořil, Pavel
  • Vomáčková, Katherine
  • Bezděková, Michala
  • Brychtová, Svetlana
  • Vysloužil, Kamil
issn
  • 1213-8118
number of pages
http://bibframe.org/vocab/doi
  • 10.5507/bp.2012.091
http://localhost/t...ganizacniJednotka
  • 15510
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