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Difference between revisions of "Tumour perforation in colorectal cancer"
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Tumour perforation in colorectal cancer (view source)
Revision as of 15:32, 27 August 2024
, 27 Augustno edit summary
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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> | ||
==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> | ||
*Does ''not'' affect the (overall) [[colorectal cancer staging|stage]]; however, it been suggested that perforated colorectal carcinoma be considered stage IV.<ref name=pmid19443386>{{Cite journal | last1 = Ogawa | first1 = M. | last2 = Watanabe | first2 = M. | last3 = Eto | first3 = K. | last4 = Omachi | first4 = T. | last5 = Kosuge | first5 = M. | last6 = Hanyu | first6 = K. | last7 = Noaki | first7 = L. | last8 = Fujita | first8 = T. | last9 = Yanaga | first9 = K. | title = Clinicopathological features of perforated colorectal cancer. | journal = Anticancer Res | volume = 29 | issue = 5 | pages = 1681-4 | month = May | year = 2009 | doi = | PMID = 19443386 }}</ref> | *Does ''not'' affect the (overall) [[colorectal cancer staging|stage]]; however, it been suggested that perforated colorectal carcinoma be considered stage IV.<ref name=pmid19443386>{{Cite journal | last1 = Ogawa | first1 = M. | last2 = Watanabe | first2 = M. | last3 = Eto | first3 = K. | last4 = Omachi | first4 = T. | last5 = Kosuge | first5 = M. | last6 = Hanyu | first6 = K. | last7 = Noaki | first7 = L. | last8 = Fujita | first8 = T. | last9 = Yanaga | first9 = K. | title = Clinicopathological features of perforated colorectal cancer. | journal = Anticancer Res | volume = 29 | issue = 5 | pages = 1681-4 | month = May | year = 2009 | doi = | PMID = 19443386 }}</ref> | ||
==Microsopic== | |||
Features:{{fact}} | |||
*Inflammation on the external aspect (serosa). | |||
Note: | |||
*A colorectal wall defect may be an artifact of extraction ("tissue abuse") rather than perforation. | |||
**Artifact of extraction is likely if all the following apply: (i) no inflammatory reaction is present, (ii) no cautery, and (iii) no perforation described in the operative report. | |||
==See also== | ==See also== | ||