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全直肠系膜切除术的病理评估:相关切缘是什么?

The pathological assessment of total mesorectal excision: what are the relevant resection margins?

作者信息

Autschbach Frank

机构信息

Institute of Pathology, Heidelberg University, Im Neuenheimer Feld 220/221, 69120 Heidelberg, Germany.

出版信息

Recent Results Cancer Res. 2005;165:30-9. doi: 10.1007/3-540-27449-9_5.

DOI:10.1007/3-540-27449-9_5
PMID:15865018
Abstract

An accurate pathological reporting of rectal cancer specimens has important implications concerning patients' prognosis and further clinical management. Since locoregional recurrence and prognosis in rectal cancer is especially influenced by the extent of extramural tumor spread into the mesorectal lymphovascular fatty tissue, systematic investigation of the status of the circumferential mesorectal resection margin is a point of major importance to determine the completeness of tumor resection. Careful macroscopic assessment of the resection specimen should be performed to monitor the quality of mesorectal excision.

摘要

直肠癌标本的准确病理报告对患者的预后及进一步的临床管理具有重要意义。由于直肠癌的局部区域复发和预后尤其受到肿瘤壁外扩散至直肠系膜淋巴血管脂肪组织范围的影响,因此系统研究环周切缘的状态对于确定肿瘤切除的完整性至关重要。应对切除标本进行仔细的大体评估,以监测直肠系膜切除的质量。

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引用本文的文献

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Required distal mesorectal resection margin in partial mesorectal excision: a systematic review on distal mesorectal spread.部分直肠系膜切除时需要远端直肠系膜切缘:远端直肠系膜扩散的系统评价。
Tech Coloproctol. 2023 Jan;27(1):11-21. doi: 10.1007/s10151-022-02690-1. Epub 2022 Aug 29.
2
Transanal Total Mesorectal Excision for Treatment of Carcinoma in the Middle or Lower Third Rectum: the Technical Feasibility of the Procedure, Pathological Results, and Clinical Outcome.经肛门全直肠系膜切除术治疗中低位直肠癌:手术的技术可行性、病理结果及临床疗效
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