Лого Српског лекарског друштва

Часопис Српског лекарског друштва

Српски архив за целокупно лекарство

Serbian Archives of Medicine

еКорпус – библиографски запис

"СКИП МЕТАСТАЗЕ" КОД КАРЦИНОМА РЕКТОСИГМЕ

"SKIP METASTASIS" OF RECTOSIGMOIDAL CANCER

Берислав Векић; Драган Радовановић; Мирослав Цветановић; Јован Живановић; Иван Павловић

Часопис
Serbian Archives of Medicine
Објављено
Srp Arh Celok Lek. 2003;131(1–2):48–51.
Врста рада
ORIGINAL ARTICLES

Abstract

Aim: In this study we want to point out the existence and significance of skip metastasis of rectosimoid cancer.

Material and methods: Seventy patinents with verified rectosigmoidal adenocarcinoma, treated in 5- years period, are included in this study. Diagnose was made upon physical examination, barium enema, rectosigmoidoscopy with positive biopsy and finding of isolated lymph node metastasis.

Results: Skip metastasis were found within 6 patinents (8.6%); 4 of them were males and 2 females, with averange age 67 years. Overall, 13 metastasis were isolated; one patinet had them 3 and five patinets had 2 skip metastasis.

Conclusion: Radical lymphadenectomy of patinets with rectosimoidal cancer requires dissection of lymph nodes along inferior mesenteric artery and its ligation on origin, as much as dissection of paraaortal and paracaval lymph nodes.

Keywords: rectosigmoidal tumors, adenocarcinoma, lymphadenectomy skip metastasis.