Is local excision adequate therapy for early rectal cancer?
Local excision of early rectal cancer carries a high risk of local recurrence. Salvage surgery is possible in most patients with local recurrence, but may be effective only in patients with T1 tumors. When compared with radical surgery, local excision may compromise overall survival in patients with T2 rectal cancers.
Perception of medical advice in our area is low and therefore susceptible to be improved, specially with respect to alcohol abuse. Low frequenters (with respect to physical exercise, fiber consume and tobacco) and young patients (with respect to physical exercise and fiber consume) are the least advised by their physician.