Difference between revisions of "Tumour perforation in colorectal cancer"

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*Banaszkiewicz ''et al.'' states that: the perforation site does ''not'' need to be at the anatomical site of the tumour.<ref name=pmid25784840>{{Cite journal  | last1 = Banaszkiewicz | first1 = Z. | last2 = Woda | first2 = Ł. | last3 = Tojek | first3 = K. | last4 = Jarmocik | first4 = P. | last5 = Jawień | first5 = A. | title = Colorectal cancer with intestinal perforation - a retrospective analysis of treatment outcomes. | journal = Contemp Oncol (Pozn) | volume = 18 | issue = 6 | pages = 414-8 | month =  | year = 2014 | doi = 10.5114/wo.2014.46362 | PMID = 25784840 }}</ref>
*Banaszkiewicz ''et al.'' states that: the perforation site does ''not'' need to be at the anatomical site of the tumour.<ref name=pmid25784840>{{Cite journal  | last1 = Banaszkiewicz | first1 = Z. | last2 = Woda | first2 = Ł. | last3 = Tojek | first3 = K. | last4 = Jarmocik | first4 = P. | last5 = Jawień | first5 = A. | title = Colorectal cancer with intestinal perforation - a retrospective analysis of treatment outcomes. | journal = Contemp Oncol (Pozn) | volume = 18 | issue = 6 | pages = 414-8 | month =  | year = 2014 | doi = 10.5114/wo.2014.46362 | PMID = 25784840 }}</ref>


Note:
*A defect may be an artifact of extraction ("tissue abuse") rather than perforation.
**This likely if all the following apply (i) no inflammatory reaction is present, (ii) no cautery, and (iii) no perforation described in the OR report.
==General==
==General==
*Poor prognosticator.<ref name=pmid17049848>{{Cite journal  | last1 = Anwar | first1 = MA. | last2 = D'Souza | first2 = F. | last3 = Coulter | first3 = R. | last4 = Memon | first4 = B. | last5 = Khan | first5 = IM. | last6 = Memon | first6 = MA. | title = Outcome of acutely perforated colorectal cancers: experience of a single district general hospital. | journal = Surg Oncol | volume = 15 | issue = 2 | pages = 91-6 | month = Aug | year = 2006 | doi = 10.1016/j.suronc.2006.09.001 | PMID = 17049848 }}</ref>  
*Poor prognosticator.<ref name=pmid17049848>{{Cite journal  | last1 = Anwar | first1 = MA. | last2 = D'Souza | first2 = F. | last3 = Coulter | first3 = R. | last4 = Memon | first4 = B. | last5 = Khan | first5 = IM. | last6 = Memon | first6 = MA. | title = Outcome of acutely perforated colorectal cancers: experience of a single district general hospital. | journal = Surg Oncol | volume = 15 | issue = 2 | pages = 91-6 | month = Aug | year = 2006 | doi = 10.1016/j.suronc.2006.09.001 | PMID = 17049848 }}</ref>  
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