- Treatment of Rectal Cancer
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Sang Hun Jung, Jae Hwang Kim, Min Chul Shim
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Yeungnam Univ J Med. 2007;24(2 Suppl):S283-295. Published online December 31, 2007
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DOI: https://doi.org/10.12701/yujm.2007.24.2S.S283
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Abstract
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- Treatment for rectal cancer continues to develop towards the improved local control and overall survival, maintaining quality of life, and preserving sphincter, genitourinary, and sexual function. Preoperative assessment for tumor depth, lymph node, and distant metastasis has an important role on treatment plan. Preoperative staging is used to determine the indication for neoadjuvant therapy as well as the indication for local excision versus radical cancer resection. Local excision is likely to be curative in patients whose tumor are confined to the submucosa without regional lymph and systemic metastasis. Total mesorectal excision (TME) and autonomic nerve preservation are standard procedure for advanced rectal cancer. In patients with advanced tumor stage (T3/T4 and/or N1) with no distant metastasis, preoperative chemoradiation followed by radical resection has become widely accepted recently.
- Xanthogranulomatous Inflammation of Transverse Colon
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Sang Hun Jung
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Yeungnam Univ J Med. 2007;24(2 Suppl):S725-730. Published online December 31, 2007
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DOI: https://doi.org/10.12701/yujm.2007.24.2S.S725
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Abstract
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- Xanthogranulomatous inflammation is an uncommon benign inflammatory disease characterized by aggregation of lipid-laden foamy macrophages (xanthoma cells) that usually presents with tumor-like appearance. The clinical and radiological findings are suggestive of advanced carcinoma of involved organ. A 66-year-man presented fever, upper abdominal mass during 10 days. By computed tomography, barium enema and PET-CT, his case suspected transverse colon malignancy. A laparotomy was performed. On operation, huge mass originated from mid-transverse was identified and transverse colectomy was performed. The pathologic report demonstrated xanthogranulomatous inflammation in transverse colon.
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