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新辅助联合治疗后局部进展期直肠癌的非手术治疗方法:从外科角度看挑战与机遇。

Nonoperative approach to locally advanced rectal cancer after neoadjuvant combined modality therapy: challenges and opportunities from a surgical perspective.

机构信息

Department of Surgery, Colorectal Service, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.

出版信息

Clin Colorectal Cancer. 2011 Dec;10(4):291-7. doi: 10.1016/j.clcc.2011.06.001. Epub 2011 Aug 15.

DOI:10.1016/j.clcc.2011.06.001
PMID:21840772
Abstract

This review contains a surgical perspective on the evolution of the nonoperative approach to patients with locally advanced rectal cancer who have a clinical complete response after neoadjuvant combined modality therapy, including accuracy of pathologic complete response identification, the timing between neoadjuvant combined modality therapy and assessment of response, the extent of long-term follow-up, and the likelihood of surgical salvage after an initial nonoperative approach.

摘要

这篇综述从手术角度探讨了新辅助联合治疗后临床完全缓解的局部进展期直肠癌患者的非手术治疗方法的演变,包括病理完全缓解识别的准确性、新辅助联合治疗与评估反应之间的时间间隔、长期随访的程度以及初始非手术治疗后手术挽救的可能性。

相似文献

1
Nonoperative approach to locally advanced rectal cancer after neoadjuvant combined modality therapy: challenges and opportunities from a surgical perspective.新辅助联合治疗后局部进展期直肠癌的非手术治疗方法:从外科角度看挑战与机遇。
Clin Colorectal Cancer. 2011 Dec;10(4):291-7. doi: 10.1016/j.clcc.2011.06.001. Epub 2011 Aug 15.
2
Current concepts in the non-operative management of rectal cancer after neoadjuvant chemoradiation.新辅助放化疗后直肠癌非手术治疗的当前概念。
Anticancer Res. 2011 May;31(5):1795-800.
3
[Preoperative chemoradiotherapy as neoadjuvant therapy for 35 patients with locally advanced lower rectal carcinoma].[术前放化疗作为35例局部晚期低位直肠癌患者的新辅助治疗]
Zhonghua Wei Chang Wai Ke Za Zhi. 2005 Mar;8(2):125-8.
4
Pathologic complete response after neoadjuvant treatment for rectal cancer decreases distant recurrence and could eradicate local recurrence.直肠癌新辅助治疗后的病理完全缓解可降低远处复发率,并可能消除局部复发。
Ann Surg Oncol. 2011 Jun;18(6):1590-8. doi: 10.1245/s10434-010-1506-1. Epub 2011 Jan 5.
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An interval >7 weeks between neoadjuvant therapy and surgery improves pathologic complete response and disease-free survival in patients with locally advanced rectal cancer.新辅助治疗与手术之间间隔超过7周可改善局部晚期直肠癌患者的病理完全缓解率和无病生存率。
Ann Surg Oncol. 2008 Oct;15(10):2661-7. doi: 10.1245/s10434-008-9892-3. Epub 2008 Apr 4.
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Pre- and postoperative adjuvant therapy for locally advanced rectal cancer.局部晚期直肠癌的术前和术后辅助治疗。
Clin Adv Hematol Oncol. 2004 Dec;2(12):806-14.
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Neoadjuvant and adjuvant therapy for rectal cancer.直肠癌的新辅助治疗和辅助治疗。
Surg Oncol Clin N Am. 2006 Jan;15(1):147-57. doi: 10.1016/j.soc.2005.08.001.
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Pathologic stage is most prognostic of disease-free survival in locally advanced rectal cancer patients after preoperative chemoradiation.在局部晚期直肠癌患者术前放化疗后,病理分期对无病生存期的预后价值最大。
Cancer. 2008 Jul 1;113(1):57-64. doi: 10.1002/cncr.23516.
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Complete clinical response after neoadjuvant chemoradiation for distal rectal cancer.低位直肠癌新辅助放化疗后的完全临床缓解
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A simplified tumor regression grade correlates with survival in locally advanced rectal carcinoma treated with neoadjuvant chemoradiotherapy.简化的肿瘤退缩分级与接受新辅助放化疗的局部晚期直肠癌患者的生存率相关。
Ann Surg Oncol. 2008 Dec;15(12):3471-7. doi: 10.1245/s10434-008-0149-y. Epub 2008 Oct 10.

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Survey results of US radiation oncology providers' contextual engagement of watch-and-wait beliefs after a complete clinical response to chemoradiation in patients with local rectal cancer.美国放射肿瘤学提供者对局部直肠癌患者放化疗后完全临床缓解时观察等待理念的情境参与度调查结果
J Gastrointest Oncol. 2018 Dec;9(6):1127-1132. doi: 10.21037/jgo.2018.08.02.