Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Gastroenterology


Answer 4
  1. Surgical APR. The patient has stage III rectal cancer (positive regional lymph node involvement), thus excluding limited attempts at excision of the lesion (endoscopic approaches or surgical transanal excision). An APR is the appropriate surgery for this patient. Opinion diverges about the use of neoadjuvant or adjuvant therapy in this patient, but some additional therapy is required given his node-positive disease. A total colectomy is not required as only the rectum appears to be involved.

Click here to return to the questions

 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj