1. Does the routine histological examination of the inferior mesenteric artery Iymph nodes have a prognostic value in elderly patients with sigmoid colon and rectum tumors?
- Author
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P Makovac, M Fava, Angelo Turoldo, Gennaro Liguori, Roseano M, Fava, M., Turoldo, Angelo, Roseano, Mauro, Makovac, P., Liguori, Gennaro, Società italiana di chirurgia geriatrica, Francesco Sciannameo, Giammario Giustozzi and Beatrice Sensi, M., Fava, and P., Makovac
- Subjects
medicine.medical_specialty ,Geriatrics gerontology ,business.industry ,education ,Sigmoid colon ,Rectum ,elderly patients ,Inferior mesenteric artery ,Surgery ,elderly patient ,medicine.anatomical_structure ,medicine.artery ,Meeting Abstract ,medicine ,Geriatric surgery ,lyrnphadenec- tomy ,colorectal and sigmoid cancer ,Lymph ,Radiology ,Geriatrics and Gerontology ,business ,Histological examination - Abstract
The purpose of our study was to estimate in elderly patients with a colorectal and sigmoid cancer the frequency of the histopathological exam and to analyze the prognostic/therapeutic value of central LN examination. In our experience the histological evaluation of the central LN has a precise prognostic value. Patients in which the histological evaluation of the central LN was performed had a better prognosis than patients in which the histological evaluation wasn’t possible (tha actuarial survival rate at 5 years was 73,2% in patients in which the central LN status was determinated and 62,7% in thiose in which it wasn’t (p=0.0066). The authors conclude that the histological evaluation of the central LN represents the quality standard of the lymphadenectomy and ensures a precise staging of the tumor which decreases the shifting between tumor stages. From an oncological point of view the therapeutic improvement achieved can be ascribed to metastatic LN dissection.
- Published
- 2009