LOCAL EXCISION IN RECTAL-CARCINOMA

From January 1985 till December 1994 109 patients with rectal carcinom a were treated by local excision, in 36 patients a radical operation w as performed afterwards. In the assessment of tumor infiltration endos onography was superior to rectal-digital examination. In 34 patients w ith local excised ''low risk'' T1-carcinomas and tumor free margins no local recurrence was observed. Two of ten patients with local excised ''low risk'' T1-carcinoma and no adequate margin of healthy tissue de veloped a local recurrence. Regarding our results the local excision o f ''low risk'' T1-carcinomas seems justified, if final histological wo rkup reveals an adequate margin of healthy tissue.