Rectal cancer threatening or affecting the prostatic plane: is partial prostatectomy oncologically adequate? Results of a multicentre retrospective study

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
Matteo FrassonI Lavery

Abstract

The management of rectal cancer threatening or affecting the prostatic plane is still under debate. The role of preoperative chemo radiotherapy and the extent of prostatectomy seem to be key points in the treatment of these tumours. The aim of the present study was to evaluate the pathological circumferential margin status and the local recurrence rate following different therapeutic options. A multicentre, retrospective study was conducted of patients with rectal cancer threatening or affecting the prostatic plane, but not the bladder, judged by magnetic resonance imaging (MRI). The use of preoperative chemoradiotherapy and the type of urologic resection were correlated with the status of the pathological circumferential resection margin (CRM) and local recurrence. A consecutive series of 126 men with rectal cancer threatening (44) or affecting (82) the prostatic plane on preoperative staging and operated with local curative intent between 1998 and 2010 was analysed. In patients who did not have chemoradiotherapy but had a preoperative threatened anterior margin the CRM-positive rate was 25.0%. In patients who did not have preoperative chemoradiotherapy but did have an affected margin, the CRM-positive rate was 41.7%. When pre...Continue Reading

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Citations

Jan 11, 2016·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M J Kelly, T R Terry
Jan 13, 2016·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M Frasson, E García-Granero
Apr 9, 2016·Journal of Pediatric Surgery·Cordelie E WittFrederick P Rivara
Oct 9, 2016·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Q DenostP P Tekkis
Jul 10, 2018·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·K VermaA P Saklani
Feb 29, 2020·Techniques in Coloproctology·A Garcia-GraneroE Garcia-Granero
May 4, 2021·International Journal of Colorectal Disease·Kosuke OzakiSoichiro Ishihara

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