Evolution of the three surgical patients with rectal neoplasm using the York Mason

Before the development of mechanical suture machines, we often used the York Mason transrectal approach technique for resection of villous tumors of the rectum and small carcinomas.Three female patients who underwent this procedure in 1979, 1983 and 1986 were followed up to the present. In two of the cases (An, 28 years, and Eg, 68 years), small epitheliomas were resected (4 and 3 cm). Eg underwent radiotherapy, as she had a Malpighian tumor, and a year later plastia of the anus.Evolution was good and 14 year later a small perineal tumor appeared which was resected on may 23 1997 and turned out to be a fibrosarcoma with little cellular activity (the patient is now 81 years old).The third patient(MZ; 70 years old) had a great villous tumor which was resected in late 1986,received and was re operated with York Mason approach four years later (october 1990)At the beginning of 1994 a new received was resected by means of endoscopy, but bled profusely and has to undergo urgent surgery carrying out a perineal amputation of the rectum which was left open (Lisfranc).Histological study showed it was a tubular and villous adenocarcinoma with high mucosecretant activity.In March of the same year the perineum was closed and the sigmoidal stump was resected below the colostomy. In late 1996 an encapsulated tumor appeared with subcutaneous situation in the posterior perineum; this was resected in november 19, 1996 with local anesthesia.Microscopical findings also showed an adenocarcinoma with great production of mucine.The patient is now 80 years old and she has not relapsed.The three patients are alive; two of them have continent anus.They have been operated on for 20, 14 and 11 years