Résumé
Les malades opérés pour carcinome colorectal sont exposés au risque soit d’une récidive de la tumeur primitive, soit du développement de lésions métachroniques (adénomes et/ou cancers).
Afin de préciser la fréquence des adénomes chez les patients soumis à des résections coliques pour carcinome et d’autre part, de démontrer l’utilité et l’efficacité de la surveillance endoscopique de tels patients, les auteurs rapportent les résultats de la surveillance coloscopique d’un groupe de 208 patients opérés pour cancer du côlon.
Des adénomes ont été mis en évidence dans le côlon restant chez 23,5 % des patients. Aucune relation n’a été établie entre la présence et le type histologique des adénomes, la localisation de la tumeur primitive, le type d’opération et le stade de la lésion primitive selon la classification de Dukes. Le taux de diagnostic des adénomes et leur diminution chez les patients soumis à une surveillance endoscopique régulière, contraste avec la fréquence relativement élevée que l’on observe chez les patients soumis à une surveillance endoscopique occasionnelle et irrégulière.
Summary
Patients operated for colorectal carcinoma are at risk of either a recurrence of the primary tumour or the development of metachronous lesions (adenomas and/or cancer).
In order to assess the frequency of adenomas in patients given intestinal resection for large bowel carcinoma and to ascertain usefulness and efficacy of endoscopic follow-up of a group of 208 patients operated for large bowel cancer.
Adenomas were detected in the residual colon of 23.5 % of the patients. No correlation was found among presence and histotype of adenomas, site of the primary tumour, type of operation, Dukes’ stage. The rate of diagnosis of adenomas and their size decrease in patients regularly followed up endoscopically, while in patients who only occasionally and irregularly attend endoscopic follow-up examinations they remain significantly high.
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Rossini, F.P., Ferrari, A., Spandre, M. et al. Fréquence des adénomes synchrone-métachroniques chez les malades opérés pour cancer colorectal. Acta Endosc 16, 151–158 (1986). https://doi.org/10.1007/BF02962892
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DOI: https://doi.org/10.1007/BF02962892