Proposal of a Classification System for Adenocarcinoma Involving the Ileocecal Valve (Bauhin's Valve): A Retrospective Study of 689 Right Hemicolectomized Patients.


Journal

Anticancer research
ISSN: 1791-7530
Titre abrégé: Anticancer Res
Pays: Greece
ID NLM: 8102988

Informations de publication

Date de publication:
Jul 2020
Historique:
received: 13 05 2020
revised: 04 06 2020
accepted: 05 06 2020
entrez: 5 7 2020
pubmed: 6 7 2020
medline: 14 7 2020
Statut: ppublish

Résumé

As of 2020, adenocarcinoma arising in the ileocecal valve (ICV-A) has been examined along with cecal and right colon cancer (RCC) under the collective heading "ileocecal" tumor. We propose a new classification system for this cancer. We retrospectively analyzed RCC patients from 2003 to 2019. The scheme was: i) Type I cancer for adenocarcinomas residing in ICV; ii) Type II, if they reside 1 to 5 mm from ICV; iii) Type III, 6 mm to 10 mm from ICV; iv) Type IV, at 1,1 to 5 cm; v) Type V, at more than 5 cm (ascending colon cancer). Of 689 hemicolectomized patients, there were 91 (13.2%) Type I, 87 Type II (12.6%), 38 (5.5%) Type III, 157 (22.8%) Type IV and 314 (45.6%) Type V. Each type was associated with at least one clinicopathologic feature. ICV-A was classified into five types (I-V) according to the distance from ICV. Further studies are needed in order to corroborate our findings.

Sections du résumé

BACKGROUND/AIM OBJECTIVE
As of 2020, adenocarcinoma arising in the ileocecal valve (ICV-A) has been examined along with cecal and right colon cancer (RCC) under the collective heading "ileocecal" tumor. We propose a new classification system for this cancer.
PATIENTS AND METHODS METHODS
We retrospectively analyzed RCC patients from 2003 to 2019. The scheme was: i) Type I cancer for adenocarcinomas residing in ICV; ii) Type II, if they reside 1 to 5 mm from ICV; iii) Type III, 6 mm to 10 mm from ICV; iv) Type IV, at 1,1 to 5 cm; v) Type V, at more than 5 cm (ascending colon cancer).
RESULTS RESULTS
Of 689 hemicolectomized patients, there were 91 (13.2%) Type I, 87 Type II (12.6%), 38 (5.5%) Type III, 157 (22.8%) Type IV and 314 (45.6%) Type V. Each type was associated with at least one clinicopathologic feature.
CONCLUSION CONCLUSIONS
ICV-A was classified into five types (I-V) according to the distance from ICV. Further studies are needed in order to corroborate our findings.

Identifiants

pubmed: 32620652
pii: 40/7/4053
doi: 10.21873/anticanres.14402
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

4053-4057

Informations de copyright

Copyright© 2020, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

Auteurs

Edoardo Virgilio (E)

Department of Medical and Surgical Sciences and Translational Medicine, Faculty of Medicine and Psychology "Sapienza", St. Andrea Hospital, Rome, Italy aresedo1992@yahoo.it edoardo.virgilio@uniroma1.it.
Department of Medicine and Surgery, Surgical Sciences Unit, University of Parma, Parma, Italy.
Department of General Surgery, di Vaio Hospital, Fidenza, Italy.

Filippo Montali (F)

Department of General Surgery, di Vaio Hospital, Fidenza, Italy.
Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy.

Renato Costi (R)

Department of Medicine and Surgery, Surgical Sciences Unit, University of Parma, Parma, Italy.
Department of General Surgery, di Vaio Hospital, Fidenza, Italy.

Marco Cavallini (M)

Department of Medical and Surgical Sciences and Translational Medicine, Faculty of Medicine and Psychology "Sapienza", St. Andrea Hospital, Rome, Italy.

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