Table 3.
Features of the 11 patients with locoregional recurrence
Characteristics | Patient 1 | Patient 2 | Patient 3 | Patient 4 | Patient 5 | Patient 6 | Patient 7 | Patient 8 | Patient 9 | Patient 10 | Patient 11 |
---|---|---|---|---|---|---|---|---|---|---|---|
Age | 51 | 34 | 49 | 24 | 53 | 45 | 69 | 62 | 81 | 60 | 48 |
Sex | Male | Female | Male | Female | Male | Female | Female | Female | Female | Female | Female |
EIN radiation | No | No | No | No | No | No | No | Yes | No | No | No |
Clinical stage | T4bN + | T4bN + | T4bN + | T4bN2 | T4bN2 | T4bN2 | T4bN + | T4bN + | T4bN + | T4bN + | T4bN + |
Anterior organ involvement | Seminal vesicle | Vagina | Prostate | Uterus | Prostate | Uterus | Uterus | Uterus | Uterus | Uterus | Vagina |
Tumor location (cm) | 4 | 4.5 | 4.2 | 10.1 | 2.8 | 9.1 | 4.18 | 5.2 | 10 | 6 | 3.58 |
Concurrent chemotherapy | XELOX | Capecitabine | Capecitabine | XELOX | XELOX | No | Capecitabine | Capecitabine | Capecitabine | Capecitabine | Capecitabine |
Surgery | LAR | LAR | LAR | LAR | Local excision | LAR | MVR | LAR | LAR | MVR | LAR |
Number of retrieved lymph nodes | 11 | 42 | 17 | 17 | 0 | 21 | 13 | 10 | 11 | 8 | 24 |
ypT stage | 3 | 2 | 0 | 2 | 2 | 3 | 4b | 3 | 3 | 4b | 3 |
ypN stage | 2a | 1a | 0 | 1a | NA | 1a | 1b | 0 | 2a | 2b | 0 |
RCRG | 1 | 2 | 1 | 1 | 1 | 2 | 2 | 1 | 3 | 2 | 2 |
Resection margin | R0 | R0 | R0 | R0 | R0 | R0 | R0 | R0 | R0 | R1 | R0 |
Positive CRM (pathological) |
No | No | No | No | No | No | No | No | No | Yes | No |
Positive EMVI (pathological) |
Yes | No | No | No | No | Yes | Unknow | Unknow | Unknow | Yes | No |
Recurrence time (month) | 92 | 23 | 34 | 23 | 28 | 7 | 31 | 23 | 39 | 13 | 28 |
Recurrence site | Anastomotic | Anastomotic | Presacral space | Anastomotic | Anastomotic | Internal iliac lymph nodes | Bladder | Anastomoticsalpingo, bladder | Bladder | Bladder, perineum, internal iliac lymph nodes |
External iliac lymph nodes |
Distant metastasis | No | No | No | Yes | No | Yes | Yes | Yes | Yes | Yes | Yes |
Distant metastasis time (month) | NA | NA | NA | 23 | NA | 28 | 31 | 23 | 39 | 13 | 28 |
LAR, low anterior resection; MVR, multivisceral resection; RCRG, rectal cancer regression grade; CRM, circumferential resection margin; EMVI, extramural vascular invasion; NA, not applicable