The pathomorphology of complicated colorectal cancer and the stages in the development of the tumor process
Iarŭmov, N.; Popkhristova, E.; Viiachki, I.; Terziev, I.; Gachev, N.
Khirurgiia 55(2): 21-24
1999
ISSN/ISBN: 0450-2167 PMID: 10838814 Document Number: 507464
A comprehensive pathomorphological assessment is done in 385 patients presenting complicated colorectal carcinoma, covering the period 1990 through 1995. The patients are distributed in 4 groups according to stage, with those in stage III being the most numerous--141 cases. The growth pattern of the neoplasm is as follows: exophytic growth--110 cases, ulcerous growth--57, cup-like growth--13, and endophytic growth--205 cases. On establishing metastatic lymph nodes within I and II lymph collectors, prophylactic postoperative chemo- and immunotherapy are undertaken. In case of lymph nodes present in III lymph collector, the operation is taken to be relatively radical, and for that reason chemo- and immunotherapy assume a therapeutic character.