The role of pelvic exenteration in the management of recurrent rectal cancer.

Background: Use of extirpative surgery in the setting of recurrent rectal cancer is controversial given the poor overall outcome of such patients and the morbidity associated with exenteration.

Methods: A retrospective review of patients treated for recurrent rectal cancer from 1990 to 2002 was performed.

Results: Twenty-two patients underwent pelvic exenteration.

Systematic postoperative radiologic follow-up in patients with non-small cell lung cancer for detecting second primary lung cancer in stage IA.

Hypothesis: Systematic postoperative evaluation of patients with non-small cell lung cancer will identify treatable second primary lung cancer and local recurrences.

Design: Retrospective review from January 1, 1996, to December 31, 2000. The follow-up protocol included an annual computed tomographic examination of the chest with interval chest radiography every 4 months for 2 years and every 6 months for 3 additional years.