Local recurrence in XXXX of the rectosigmoid colon after curative surgical resection.

@entity1 @entity420 @entity189 @entity71947
Between January 1975 and January 1982, 157 @entity1 with a diagnosis of @entity420 of the rectosigmoid colon underwent curative surgical resection. The median follow-up was three years (range, 2.5 to 9 years). Two @entity1 were excluded from the study for staging purposes because they received preoperative radiation. The remaining @entity1 were categorized in the following stages: @entity189 in situ-3; A-14; B(1)-14; B(2)-41; B(3)-8; C(1)-1; C(2)-70; and C(3)-4. The overall local recurrence rate was 41 percent. The local recurrence according to stage was as follows: stage @entity71947 (14 percent); B(2)-15/38 (39 percent); B(3)-3/8 (38 percent); C(1)-0/1; C(2)-31/56 (55 percent); and C(3)-4/4 (100 percent). Seventeen @entity1 in stages B(2) and C(2) received postoperative irradiation. Only two @entity1 (2/17, or 12 percent) recurred locally. In this study the local recurrence rate for @entity1 undergoing curative surgical resection only was very high, especially in @entity1 with advanced stage of disease (B(2) to C(3)). There is evidence that postoperative radiotherapy could minimize the local failure rate.
