Rectal Neoplasms
Conditions
Keywords
Low rectal cancer, Neoadjuvant treatment, Complete pathological response, ypT0N0, disease free survival, Predictive factors
Brief summary
Many data suggest that patients with low rectal adenocarcinoma who achieved ypT0N0 status have improved survival and disease-free survival (DFS) compared to all other stages however only few data are available regarding the specific prognosis factors of this subgroup. This retrospective multicentric study aimed to predict the prognosis of patients with complete pathological response after neoadjuvant treatment.
Interventions
total mesorectal excision
Sponsors
Study design
Eligibility
Inclusion criteria
* patients with a histologically proven low rectal adenocarcinoma, * no previous or synchronous colorectal disease, * UICC stage I-III patients who underwent neoadjuvant chemoradiotherapy or chemotherapy, * followed by total mesorectal excision (TME), and * a complete pathological response defined as ypT0N0
Exclusion criteria
\- all patients with metastatic tumors or missing data
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Local recurrence rate | From date of surgery until the date of first documented local progression assessed up to 100 months | A postoperative local recurrence was defined by biopsy-proven or radiographic evidence of local recurrent disease. |
| Distant recurrence rate | From date of surgery until the date of first documented distant progression assessed up to 100 months | A postoperative distant recurrence was defined by biopsy-proven or radiographic evidence of distant recurrent disease. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Predictive factors of disease free survival | From date of surgery until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months | Disease free survival was defined as the period between the day of surgery and the date of recurrence or the last date of follow-up |
Countries
Algeria, Morocco