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Synchronous cancers of the colon and rectum

Author(s): Daciana N. Chirilă | Nicolae A. Turdeanu | Nicolae A. Constantea | Tudor R. Pop | Sorin D. Porumbel | Cătălina I. Bungărdean | Bogdan Micu | Dan Axente | Sorin Crişan | Constantin Ciuce

Journal: Human & Veterinary Medicine
ISSN 2066-7655

Volume: 4;
Issue: 3;
Start page: 83;
Date: 2012;
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Keywords: Large bowel | rectum | cancer | synchronous lesions

Objective: we want to evaluate the cases with synchronous malignant tumors of the colon and rectum among the patients admittedin our hospital between 2005-2012. Material and Methods: there is a retrospective study of 20 cases diagnosed with multiple malignant tumorsof the large bowel and rectum, collected from the patients observational datas. Results: 6 of these patients died in this period, but the othersare still alive and in a good condition. Conclusion: in some sites the cancer has a better survival rate because of an earlier diagnosis, some ofthese patients develop synchronous or metachronous malignant lesions and in such cases is needed an agressive approach. There is still a smallnumber of multiple malignant synchronous lesions, usually met with a colorectal localisation, discovered when we investigate the entire largebowel and rectum and not only a small portion of them. A synchronous malignant lesion associated with colorectal cancer can be discovered ifthe lesion has symptoms or when we perform CT scan, or MRI or another imagistic method which permit the diagnosis. Also, it is importantnot only for metachronous lesions but for synchronous lesions not diagnosed with the first tumor, an appropriate control of the patients postoperatively,giving the patient a chance of cure.

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