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Page Background

Patterns of relapse

Retrospective review

• 1985 -2000

• 1172 patients; R0 resection

• 492 (42%) recurrence

Locoregional recurrence – surgical bed; upper abdominal

retroperitoneal lymph nodes; anastomotic recurrence

Location of recurrence

Number

Locoregional

199 (54%)

Distant

188 (51%)

Peritoneal

108 (29%)

D’Angelica M, Gonen M, Brennan M et al 2004 Ann of Surg; 240:808-816

79% recurred within 2 years