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Dr. LaRosa said that he was not sure why the death rate had increased, but that the jump was not because of poor surgery.
Poor surgery candidates and those who preferred IMRT to PR were referred to radiotherapy.
Poor surgery with incomplete mesorectum or tears into the mesorectal fat or muscular tube of the rectum could reduce this margin and consequently lead to local recurrences.
Poor surgery would be characterised by severe irregularities on the surface of the specimen, exposing the muscularis propria or internal sphincter or even showing perforations to the lumen.
4 In our study, only one patient staged as ypT2 disease had a R1 resection, due to extensive angioinvasive tumor growth within the CRM, which depends more on biologic aggressiveness rather than poor surgery.
It has been claimed that the benefits of chemoradiation are only due to the compensation of poor surgery, and that these benefits would not be seen if a D1 or D2 dissection had been performed.
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The CR07 trial suggests SCPRT reduces the risk of local recurrence for all tumour locations, all pathological stages, and good, average or poor quality surgery.
Complete tumor resection is another important factor related to survival [ 20, 21] In this study, for GISTs with metastasis or with incomplete resection, survival was poor after surgery alone.
As a psychologist who worked in Dr. Pitanguy's clinic told me, "The poor prefer surgery".
Regardless of the underlying etiology, multiple reports have correlated tobacco smoke exposure with increased prevalence of CRS and poor sinus surgery outcomes [27], [28], [46].
Long-term prognosis for glioblastoma patients remains poor despite surgery and chemoradiotherapy.
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CEO of Professional Science Editing for Scientists @ prosciediting.com