
Masurarea Puterii Active In Circuite De Curent Alternativ Monofazat Concluzii
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Masurarea Puterii Active In Circuite De Curent Alternativ Monofazat Concluzii
and Masuri in respect of your home or business premises. Masurarea puterii active in circuite de curent alternativ monofazat concluzii[Adjuvant chemotherapy in rectal cancer: value of adjuvant chemotherapy for patients with pT3-4 and who underwent sphincter-sparing surgery].
In Japan, the majority of patients with stage III colorectal cancer have received adjuvant chemotherapy. However, the value of adjuvant chemotherapy in patients with stage III rectal cancer remains uncertain. Therefore, we have assessed the impact of adjuvant chemotherapy on recurrence-free survival (RFS) and overall survival (OS) in patients with resected node-positive stage III rectal cancer who underwent sphincter-sparing surgery. From April 1984 to April 2002, 963 consecutive patients with stage III rectal cancer underwent total mesorectal excision (TME) with lymph node dissection. All patients were assessed preoperatively for lymph node metastasis by preoperative endorectal ultrasonography and MRI. Postoperatively, patients were assessed regularly for recurrence. Five hundred and thirty-five patients were treated with adjuvant chemotherapy. Of the 438 patients without adjuvant chemotherapy, 265 (60%) had node-positive disease and 173 (40%) had node-negative disease. Among the patients with node-positive disease, there was no significant difference between the adjuvant chemotherapy and nonadjuvant chemotherapy groups in 5-year RFS and OS (p=0.10 and p=0.33, respectively). Multivariate analysis identified postoperative tumor recurrence, tumor stage, and lymphovascular invasion as independent factors for RFS in patients without adjuvant chemotherapy. Adjuvant chemotherapy significantly improved RFS (5-year RFS: 77.5% vs 69.1%, p=0.01) and OS (5-year OS: 88.1% vs 75.9%, p
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