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Late relapse and mortality in stage I large bowel cancer
Author(s) -
Hill George J.,
Ghosh Bimal C.
Publication year - 1992
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930510114
Subject(s) - medicine , anus , rectum , stage (stratigraphy) , colorectal cancer , cancer , surgery , paleontology , biology
The outcome was determined for patients with Stage I cancers of the large bowel (colon, rectum, and anus) who were treated from 1982–1989. In 119 consecutive patients, the 5‐year survival was approximately 70% (72% by the absolute direct method; 67% by the actuarial life table method). Although the overall 5‐year survival was similar to numerous other published reports, it was disturbing to observe that 41 % of the living patients had relapsed. Furthermore, although 88/119 (67%) were alive at last report, 2–7 years after treatment, only 23 (19%) were believed to be free of cancer. We conclude that follow‐up for more than 5 years and the assessment of disease‐free survival are required to evaluate the outcome from Stage I large bowel cancer. © 1992 Wiley‐Liss, Inc.