Rectal Cancer Clinical Trial
Official title:
Factors Predicting Recurrence After Curative Resection for Rectal Cancer: a 16-year Study
Colorectal cancer is one of the most frequently diagnosed cancers and a major cause of cancer
deaths worldwide. Recurrence after curative surgery is one of the major factors affecting the
long-term survival and its frequency is estimated to be 22.5% at 5 years. of which 12% have
local recurrence. The overall survival in case of recurrence of 11% at 5 years.
Several patient-, tumor-related and treatment-related prognostic factors have been found to
be associated with the risk of recurrence of rectal adenocarcinoma. Some of these factors
such as TNM stage, lymphatic and perineural invasion and vascular emboli have been found to
affect recurrence free survival in most studies. While the impact of other factors such as
distal resection margin, tumor size, extra capsular spread and neoadjuvant chemoradiotherapy
on recurrence remains controversial. Moreover, most of the previous studies on prognostic
factors have been from American and European countries with very little data from African
countries. Recognition of these factors helps in identification of high-risk patients who
require close and more rigorous postoperative surveillance. Hence this study was conducted to
determine the factors affecting recurrence after curative resection of rectal cancer in
African population.
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