Jederán Eva, Mátrai Zoltán, Tóth László, Lövey József, Láng István, Hitre Erika, Naszádos György, Gõdény Mária
Radiológiai Diagnosztikai Osztály, Országos Onkológiai Intézet, Budapest, Hungary.
Magy Onkol. 2012 Sep;56(3):179-86. Epub 2012 Jun 19.
Over the past decade, significant progress has been made in the management of rectal cancer. Advances in surgical technique and adjuvant therapies have led to significant improvements in outcome for some patients. The advances in preoperative therapies have led to the need for an accurate preoperative staging technique to select those patients who are expected to benefit from these interventions without subjecting others to unnecessary treatment. Performing neoadjuvant therapy knowledge of the relationship of the tumor to the circumferential resection margin is of importance. In Hungary, respecting European guidelines, the high resolution magnetic resonance imaging is mandatory in the staging of rectal cancer, and in early rectal cancer transrectal endosonography has a complementary role. The current role of multidetector computer tomography is for detecting distant metastasis and in local tumor staging of advanced cancers.
在过去十年中,直肠癌的管理取得了重大进展。手术技术和辅助治疗的进步使部分患者的治疗结果有了显著改善。术前治疗的进展导致需要一种准确的术前分期技术,以选择那些有望从这些干预措施中获益的患者,同时避免其他患者接受不必要的治疗。了解肿瘤与环周切缘的关系对于进行新辅助治疗很重要。在匈牙利,遵循欧洲指南,高分辨率磁共振成像在直肠癌分期中是必需的,而在早期直肠癌中,经直肠超声检查起辅助作用。多排螺旋计算机断层扫描目前的作用是检测远处转移以及对进展期癌症进行局部肿瘤分期。