Rektum Kanserli Hastalarımızın Epidemiyolojik Demografik Özelliklerinin ve Tedavi Yaklaşımlarının Değerlendirilmesi

Year 2008, Volume: 41 Issue: 1, 41 - 44, 01.04.2008

Taciser Demirkasımoğlu V. İşıl Uğur Yeşim Elgin Bülent Küçükplakçı Aytül Özgen Cem Mısırlıoğlu Ergun Sanrı Pınar Kara Handan Erkal Nadi Özdamar

Abstract

Two-hundred-eighty patients with rectum cancer treated in Radiation Oncology Department of Ankara Oncology Hospital bet-ween January 2000-December 2004 revievved retrospectively. Median age of the patients were 59. Men/women ratio was 1.2/1. Adenocarcinoma was the majör celi type. Tumour of the 56 patients were grade 1, 83 patients were grade 2 and 7 patients were grade 3. Most of the patients seen in our department were stage IIA. Incidence of rectum carcinoma was high in the middle third of rectum. Two-hundred-thirty-five patients were operable, 45 were inoperable. One-hundred-seven patients had APR (abdomi-noperineal resection), 107 had LAR (low anterior resection), 7 had resection as a surgical procedure. One-hundred-eighty patients had chemotherapy before radiotherapy. Two-hundred-thirty-five patients had postoperative radiotherapy, 14 had preopera-tive and 31 patients had palliative radiotherapy. One-hundred-sixty-nine patients had chemoradiotherapy.

Keywords

Rectum cancer, radiotherapy.

Epidemyologic Results of the Patierıts with Rectal Cancer

Abstract

Ankara Onkoloji Hastanesi Radyasyon Onkolojisi Kliniğine 1 Ocak 2000-31 Aralık 2004 tarihleri arasında başvuran rektum kanserli 280 hasta retrospektif olarak değerlendirildi. Hastalar; genel özellikleri açısından incelendi. Hastaların medyan yaşı 59, erkek/kadın oranı 1.2/1 bulundu. En sık rastlanan tümör histopatolojisi adenokarsinom idi. Hastaların 56'sı gradel, 83'ü grade 2, 7'si grade 3 olarak bulundu. Kliniğimize en çok Evre HA hastaların başvurduğu saptandı. Tümör, en fazla rektum orta yerleşimli idi. Hastaların 235'i öpere, 45'i inopere idi. İki yüz yirmi bir hastanın 107'sine abdomino-perineal rezeksiyon, 107'sine low anterior rezeksiyon, 7'sine sadece rezeksiyon yapılmıştı. Yüzseksen hastaya radyoterapi öncesi kemoterapi uygulanmıştı, ikiyüzseksen hastanın 235'ipostoperatif, 14'üpreoperatif, 31 'ipalyatif amaçlı ışınlanmıştı. Hastaların 169'una radyoterapi ile eşzamanlı kemoterapi verilmişti.

Keywords

Rektum kanseri, radyoterapi.

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