Local Excision for Villous Tumor in the Rectum

Kenji Hibi^{1) 2)}, Masaki Nogaki²⁾, Katsuki Ito¹⁾, Hiroshi Takagi¹⁾

¹⁾Second Department of Surgery, Nagoya University School of Medicine
²⁾Nogaki Hospital

Preservation of physical function and operative radicality are important in surgery for low rectal tumors. In this study, we performed local excision for 103 rectal villous tumor cases and examined the prognosis of these cases. Seven cases experienced recurrence in the lower rectum, but complete cure was achieved with another local excision. Therefore, local excision should be performed first for lower rectal villous tumors, if the cancer is in an early stage. However, we consider retreatment, such as low anterior resection with preservation of physical function, to be required for cancers with submucosal invasion. In all cases, follow-up studies after local excision, i.e., regular endoscopic and digital examinations, are important for assuring a good prognosis.

Key words
villous tumor, rectal cancer, local excision

Reprint requests
Kenji Hibi Second Department of Surgery, Nagoya University School of Medicine
65 Tsurumai-cho, Showa-ku, Nagoya, 466 JAPAN

Accepted
December 11, 1996

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