Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
Lancet Oncol. 2012 Nov;13(11):e470-81. doi: 10.1016/S1470-2045(12)70424-2.
Colon cancer is seen with increasing frequency in the Asia-Pacific region, and it is one of the most important causes of cancer mortality worldwide. This article reviews the available evidence for optimum management of colon cancer-in particular, with respect to screening and early detection of colon cancer, laparoscopic surgical treatment, adjuvant treatment of individuals with high-risk stage II and stage III cancer, palliative treatment of patients with metastatic disease, and management of resectable and potentially resectable metastases-and how these strategies can be applied in Asian countries with different levels of health-care resources and economic development, stratified by basic, limited, enhanced, and maximum resource levels.
结直肠癌在亚太地区的发病率不断上升,是全球癌症死亡的重要原因之一。本文就结直肠癌的最佳治疗策略进行综述,特别是结直肠癌的筛查和早期检测、腹腔镜手术治疗、高危 II 期和 III 期患者的辅助治疗、转移性疾病患者的姑息治疗以及可切除和潜在可切除转移灶的处理,同时考虑了不同卫生资源和经济发展水平的亚洲国家,分为基本、有限、增强和最大资源水平。