Table 3.
Patient No. | Stage | RT | CT | Residual Disease 6 Months | Surgery after CT-RT |
Treatment of Recurrent Disease | Symptoms | Cancer Treatment |
Outcome | Diagnosis |
---|---|---|---|---|---|---|---|---|---|---|
1 | NA | Yes | No | No | colectomy and APR | No | pain | RT+colectomy+APR | Alive 2 y | NA |
2 | NA | No | No | No | No | RT | abscess | Subtotal Colectomy (1968) and APR 1982 | Alive 1.5 y | NA |
3 | NA | No | No | NA | No | No | perianal mass | Right hemicolectomy, excision of anal lesion | Alive | biopsy |
4 | NA | Yes | No | Yes | proctectomy | No | severe pain | RT+proctectomy | Died 10 mo | biopsy |
5 | NA | Yes | No | No | No | No | diarrhea | RT | Died 2 y | EUA |
6 | NA | Yes | Yes | No | No | No | anal lump, anal stricture | CT+RT | Alive 6 mo | EUA |
7 | NA | Yes | No | NA | No | No | bleeding, perianal mass | RT | lost to FU | biopsy |
8 | NA | Yes | Yes | NA | No | No | severe pain | CT+RT | Died 6 mo | EUA |
9 | NA | Yes | Yes | NA | excision | local excision | persistent fistula | CT+RT+excision | Alive | biopsy |
10 | NA | Yes | Yes | NA | APR | No | severe pain | CT+RT+APR | Alive | biopsy |
11 | NA | Yes | Yes | NA | APR | No | severe pain | CT+RT+APR | Died 1.5 y | biopsy |
12 | NA | No | No | No | No | local excision | perianal mass | debridement, proctectomy |
Died 9 mo | surgery |
13 | NA | Yes | Yes | No | ileostomy | RT | NA | CT+RT+Proctectomy | Alive 6 y | surgery |
14 | NA | No | No | NA | NA | NA | pus discharge | Debridement | lost to FU | biopsy |
15 | NA | No | No | No | No | No | septic shock | No treatment | Died | biopsy |
16 | II | Yes | Yes | No | APR | local excision | pus discharge | APR | NA | biopsy |
17 | IV | Yes | Yes | NA | No | NA | pain | CT+RT+TPC | Alive 26 mo | surgery |
18 | II | Yes | Yes | NA | No | NA | pain | CT+RT+APR | Died 23 mo | surgery |
19 | II | Yes | No | No | APR, vaginectomy, flap | NA | pain | RT+APR | Alive 37 mo | biopsy |
20 | NA | Yes | Yes | Yes | No | No | severe anal stricture, pain | CT+RT | NA | biopsy |
21 | NA | No | No | No | No | No | perianal abscess | none | Died 3 mo | biopsy |
22 | NA | Yes | Yes | NA | No | No | asymptomatic chronic fistula | CT+RT | NA | biopsy |
23 | NA | Yes | Yes | NA | No | No | increasing pain and drainage | CT+RT | NA | biopsy |
24 | NA | Yes | Yes | NA | APR | No | increasing pain and drainage | CT+RT+APR | NA | biopsy |
25 | NA | Yes | Yes | NA | APR | No | unknown | CT+RT+APR | NA | biopsy |
26 | NA | Yes | Yes | NA | No | No | increasing pain and ulceration | CT+RT | NA | biopsy |
27 | NA | Yes | Yes | NA | No | No | asymptomatic chronic fistula | CT+RT | NA | biopsy |
28 | NA | Yes | Yes | NA | No | No | unknown | APR+CT+RT | NA | biopsy |
29 | NA | Yes | Yes | NA | No | No | unknown | TPC+RT+CT | NA | biopsy |
30 | NA | No | No | NA | No | No | increasing pain, severe sepsis | No treatment | Died 1 y | biopsy |
31 | IIIB | Yes | Yes | No | APR/VRAM (for CD, no recurrence) | NA | perianal pain | RT+CT+APR | Alive 5 y | biopsy |
32 | IIIA | Yes | Yes | NA | No | CT-RT | bleeding | CT+RT | Died 6 mo | biopsy |
33 | I | Yes | Yes | No | No | NA | perianal pain | CT+RT | Alive 5 y | biopsy |
34 | NA | Yes | Yes | Yes | APR | NA | perianal pain | CT+RT+APR | NA | biopsy |
35 | IV | Yes | Yes | Yes | APR/VRAM IORT | Chemotherapy | perianal pain | CT+RT+APR+IORT | Died 6 mo | biopsy |
36 | NA | NA | NA | NA | NA | NA | discharge of stool through perianal fistulas, weight loss | APR, excision of perineal tumor | NA | biopsy |
CT-RT: chemoradiation; RT: radiotherapy; CT: chemotherapy; APR: abdominal perineal resection; VRAM: right vertical rectus abdominis myocutaneous flap; IORT: intraoperative radiotherapy; mo: months; FU: follow-up.