Bouaouina Noureddine, Boussen Hamouda
Service de Cancérologie Radiothérapie, C.H.U. Farhat Hached, Sousse.
Tunis Med. 2003 Feb;81(2):73-9.
Rectal cancer is a different entity compared to colon cancer due to its particular clinical therapeutic and treatment failure profile. Its anatomical situation explain the more higher frequency of loco-regional relapses compared to its colic counterpart. Adjuvant therapy of rectal cancer follow the progress obtained in colon cancer using adjuvant fluorouracil based chemotherapy and is also based on radiotherapy. This treatment is frequently used as primary to reduce tumoral volume, to improve the quality of surgery and to decrease the risk of local relapses. Doses fo 20-30 Gy seems to be the standard for bulky lesions and.
由于其特殊的临床治疗和治疗失败情况,直肠癌与结肠癌是不同的实体。其解剖位置解释了与结肠癌相比,局部区域复发频率更高的原因。直肠癌的辅助治疗遵循结肠癌在使用基于氟尿嘧啶的辅助化疗方面所取得的进展,并且也基于放疗。这种治疗经常作为主要治疗手段使用,以缩小肿瘤体积、提高手术质量并降低局部复发风险。20 - 30 Gy的剂量似乎是大块病变的标准剂量。