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[内脏癌手术中R1分类的病理学]

[Pathology of the R1 classification in visceral cancer surgery].

作者信息

Pollheimer M J, Langner C

机构信息

Institut für Pathologie, Medizinische Universität Graz, Auenbruggerplatz 25, 8036, Graz, Österreich.

出版信息

Chirurg. 2017 Sep;88(9):731-739. doi: 10.1007/s00104-017-0448-6.

DOI:10.1007/s00104-017-0448-6
PMID:28593347
Abstract

The completeness of tumor removal is described in the residual tumor classification (R classification). The R category of a surgical specimen reflects the effects of treatment, influences further treatment decisions and is associated with patient survival. Thorough pathological examination of all resection planes, including the circumferential margin, is necessary for accurate classification.

摘要

肿瘤切除的完整性在残余肿瘤分类(R分类)中进行描述。手术标本的R类别反映了治疗效果,影响进一步的治疗决策,并与患者生存率相关。对所有切除平面,包括切缘进行全面的病理检查对于准确分类是必要的。

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本文引用的文献

1
New 3-Tiered Circumferential Resection Margin Criteria in Esophageal Squamous Cell Carcinoma.食管癌新的三层环形切缘标准
Ann Surg. 2015 Dec;262(6):965-71. doi: 10.1097/SLA.0000000000001039.
2
Endoscopic submucosal dissection: European Society of Gastrointestinal Endoscopy (ESGE) Guideline.内镜黏膜下剥离术:欧洲胃肠道内镜学会(ESGE)指南。
Endoscopy. 2015 Sep;47(9):829-54. doi: 10.1055/s-0034-1392882. Epub 2015 Aug 28.
3
The importance of the proximal resection margin distance for proximal gastric adenocarcinoma: A multi-institutional study of the US Gastric Cancer Collaborative.
近端胃癌近端切缘距离的重要性:美国胃癌协作组的多机构研究
J Surg Oncol. 2015 Aug;112(2):203-7. doi: 10.1002/jso.23971. Epub 2015 Aug 14.
4
Rectal and colon cancer: Not just a different anatomic site.直肠癌和结肠癌:不只是不同的解剖部位。
Cancer Treat Rev. 2015 Sep;41(8):671-9. doi: 10.1016/j.ctrv.2015.06.007. Epub 2015 Jun 28.
5
Hereditary diffuse gastric cancer: updated clinical guidelines with an emphasis on germline CDH1 mutation carriers.遗传性弥漫性胃癌:强调种系CDH1突变携带者的最新临床指南
J Med Genet. 2015 Jun;52(6):361-74. doi: 10.1136/jmedgenet-2015-103094. Epub 2015 May 15.
6
Length of negative resection margin does not affect local recurrence and survival in the patients with gastric cancer.胃癌患者的阴性切缘长度不影响局部复发和生存率。
World J Gastroenterol. 2014 Aug 14;20(30):10518-24. doi: 10.3748/wjg.v20.i30.10518.
7
[Update of the S3 guidelines for pancreatic cancer. What is new for pathologists?].[胰腺癌S3指南更新。病理学家有哪些新内容?]
Pathologe. 2014 Sep;35(5):509-18; quiz 518-20. doi: 10.1007/s00292-012-1712-7.
8
EURECCA consensus conference highlights about colorectal cancer clinical management: the pathologists expert review.EURECCA 共识会议要点概述:结直肠癌临床管理—病理学家专家综述。
Virchows Arch. 2014 Feb;464(2):129-34. doi: 10.1007/s00428-013-1534-x. Epub 2014 Jan 24.
9
Definition of microscopic tumor clearance (r0) in pancreatic cancer resections.胰腺癌切除术中微观肿瘤清除(r0)的定义。
Cancers (Basel). 2010 Nov 25;2(4):2001-10. doi: 10.3390/cancers2042001.
10
Resection margins in pancreatic cancer.胰腺癌的切缘。
Surg Clin North Am. 2013 Jun;93(3):647-62. doi: 10.1016/j.suc.2013.02.008. Epub 2013 Mar 29.