The Impact of Tumour Distance From the Anal Verge on Clinical Management and Outcomes in Patients Having a Curative Resection for Rectal Cancer.

Aim: The clinico-oncological significance of the distance of rectal cancer from the anal verge is unclear and not well reported. The aim of this study is to assess the influence of the rectal cancer distance from the anal verge on clinical management and long-term outcomes after curative resection in a specialised colorectal cancer unit.

Methods: Prospectively collected data on patients who underwent primary rectal cancer treatment at our unit between January 2005 and December 2010 were analysed.

Area of submucosal invasion and width of invasion predicts lymph node metastasis in pT1 colorectal cancers.

Background: The prediction of lymph node metastasis by current histopathological methods is imprecise.

Objective: The aim of this study was to evaluate currently used and possible new high-risk features associated with lymph node metastasis to identify the markers of lymph node metastasis.

Design/patient/setting: Two hundred seven pT1 cancers were identified through the Northern and Yorkshire Cancer Registry and Information Services database and digitally scanned.

A giant colonic diverticulum presenting as a 'phantom mass': a case report.

Introduction: Diverticulosis coli is the most common disease of the colon in Western countries. Giant colonic diverticulum, defined as a colonic diverticulum measuring 4 cm in size or larger, represents an unusual manifestation of this common clinical entity.

Case Presentation: A 68-year-old Caucasian British woman with a history of intermittent lower abdominal mass, leg swelling and focal neurological symptoms underwent extensive non-diagnostic investigations over a significant period under a number of disciplines.

Short-term and long-term outcomes of the cleft lift procedure in the management of nonacute pilonidal disorders.

Purpose: We report the results of the cleft lift procedure in the management of nonacute pilonidal sinus disorders.

Methods: Seventy consecutive patients who underwent a cleft lift for nonacute pilonidal sinus were evaluated prospectively. Responses to a postal questionnaire were analyzed for long-term outcome.

A randomized, double-blind trial of the effect of metronidazole on pain after closed hemorrhoidectomy.

Purpose: Patients consider hemorrhoidectomy to be a painful operation. Attempts to reduce the length of inpatient stay have concentrated mainly on a reduction in postoperative pain. Metronidazole has been shown to reduce pain after open hemorrhoidectomy.

Adenocarcinoma in the residual outflow tract after incomplete excision of a failed ileoanal pouch: a late complication of unrecognized Crohn's colitis: report of a case.

A case of adenocarcinoma complicating the outflow tract remnant of a previously excised ileoanal pouch is described. The pouch had failed because of unsuspected Crohn's disease. This is the first reported case of malignancy complicating a pouch that had been constructed in a patient with Crohn's disease.