[Skip metastases in rectosigmoid carcinoma].

AIM: In this study we want to point out the existence and significance of skip metastasis of rectosimoid cancer.

MATERIAL AND

METHODS

Seventy patients with verified rectosigmoidal adenocarcinoma, treated in 5-years period, are included in this study. Diagnose was made upon physical examination, barium enema, rectosigmoidoscopy with positive biopsy and finding of isolated lymph node metastasis.

RESULTS

Skip metastasis were found within 6 patients (8.6%); 4 of them were males and 2 females, with average age 67 years. Overall, 13 metastasis were isolated; one patient had them 3 and five patients had 2 skip metastasis.

CONCLUSION

Radical lymphadenectomy of patients with rectosimoidal cancer requires dissection of lymph nodes along inferior mesenteric artery and its ligation on origin, as much as dissection of paraaortal and paracaval lymph nodes.