Difference between revisions of "Tumour perforation in colorectal cancer"

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'''Tumour perforation in colorectal cancer''' is the conjunction of intestinal perforation and [[colorectal tumour]].   
'''Tumour perforation in colorectal cancer''' is the conjunction of an intestinal perforation and a [[colorectal tumour]].   


Based on Banaszkiewicz ''et al.'' it is a [[clinical diagnosis]];<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> the perforation site does ''not'' need to be at the anatomical site of the tumour.
The Royal College of Pathologists Australia (RCPA) defines it as: perforation at the site of the tumour.<ref>URL: [https://www.rcpa.edu.au/Library/Practising-Pathology/Macroscopic-Cut-Up/Specimen/Gastrointestinal/Colorectal/Colorectal-tumour https://www.rcpa.edu.au/Library/Practising-Pathology/Macroscopic-Cut-Up/Specimen/Gastrointestinal/Colorectal/Colorectal-tumour]. Accessed on: June 21, 2018.</ref>
 
==Definitions==
*The Royal College of Pathologists Australia (RCPA) defines tumour perforation as: perforation at the site of the tumour.<ref>URL: [https://www.rcpa.edu.au/Library/Practising-Pathology/Macroscopic-Cut-Up/Specimen/Gastrointestinal/Colorectal/Colorectal-tumour https://www.rcpa.edu.au/Library/Practising-Pathology/Macroscopic-Cut-Up/Specimen/Gastrointestinal/Colorectal/Colorectal-tumour]. Accessed on: June 21, 2018.</ref>
*The College of American Pathologists protocol (version 4.0.0.1) notes that: perforation proximal to the tumour is a poor prognosticator.
**Perforation at the tumour and proximal to the tumour may not be that different. (???)
*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 [[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>


==See also==
==See also==

Latest revision as of 20:49, 21 June 2018

Tumour perforation in colorectal cancer is the conjunction of an intestinal perforation and a colorectal tumour.

The Royal College of Pathologists Australia (RCPA) defines it as: perforation at the site of the tumour.[1]

Definitions

  • The Royal College of Pathologists Australia (RCPA) defines tumour perforation as: perforation at the site of the tumour.[2]
  • The College of American Pathologists protocol (version 4.0.0.1) notes that: perforation proximal to the tumour is a poor prognosticator.
    • Perforation at the tumour and proximal to the tumour may not be that different. (???)
  • Banaszkiewicz et al. states that: the perforation site does not need to be at the anatomical site of the tumour.[3]

General

  • Poor prognosticator.[4]
  • Does not affect the (overall) stage; however, it been suggested that perforated colorectal carcinoma be considered stage IV.[5]

See also

References

  1. URL: https://www.rcpa.edu.au/Library/Practising-Pathology/Macroscopic-Cut-Up/Specimen/Gastrointestinal/Colorectal/Colorectal-tumour. Accessed on: June 21, 2018.
  2. URL: https://www.rcpa.edu.au/Library/Practising-Pathology/Macroscopic-Cut-Up/Specimen/Gastrointestinal/Colorectal/Colorectal-tumour. Accessed on: June 21, 2018.
  3. Banaszkiewicz, Z.; Woda, Ł.; Tojek, K.; Jarmocik, P.; Jawień, A. (2014). "Colorectal cancer with intestinal perforation - a retrospective analysis of treatment outcomes.". Contemp Oncol (Pozn) 18 (6): 414-8. doi:10.5114/wo.2014.46362. PMID 25784840.
  4. Anwar, MA.; D'Souza, F.; Coulter, R.; Memon, B.; Khan, IM.; Memon, MA. (Aug 2006). "Outcome of acutely perforated colorectal cancers: experience of a single district general hospital.". Surg Oncol 15 (2): 91-6. doi:10.1016/j.suronc.2006.09.001. PMID 17049848.
  5. Ogawa, M.; Watanabe, M.; Eto, K.; Omachi, T.; Kosuge, M.; Hanyu, K.; Noaki, L.; Fujita, T. et al. (May 2009). "Clinicopathological features of perforated colorectal cancer.". Anticancer Res 29 (5): 1681-4. PMID 19443386.