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对Ⅳ期直肠癌,通常实施直肠癌姑息性手术切除术。为探讨这些患者是否可以避免手术,Tyc-Szczepaniak D等人对40例接受5×5 Gy放射治疗和以奥沙利铂为基础的化疗的伴远处转移直肠癌患者进行了调查。治疗前,有38%的患者伴有不全梗阻。调查结果由上述患者填写的问卷得来。本组患者的平均随访时间为26个月(19~34个月),平均存活时间为11.5个月;8例患者(20%)在患病期间需要手术治疗,7例患者需要造瘘,1例患者接受了肿瘤局部切除术;在整个患病过
For stage IV rectal cancer, palliative resection of the rectum is usually performed. To investigate whether these patients can avoid surgery, Tyc-Szczepaniak D et al. Investigated 40 patients with distant metastasis of rectal cancer who received 5 × 5 Gy of radiotherapy and oxaliplatin-based chemotherapy. Before treatment, 38% of patients with incomplete obstruction. The survey results were obtained from the questionnaires completed by the above patients. The mean follow-up time was 26 months (range, 19-34 months) with an average survival of 11.5 months. Eight patients (20%) required surgical treatment during the illness, seven required fistula, and one The patient underwent partial tumor excision; the entire illness was over