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[结直肠癌的术前影像学检查:外科医生的观点]

[Preoperative imaging for colorectal cancer: surgeons' perspective].

作者信息

Iesalnieks I, Agha A

机构信息

Klinik für Allgemein‑, Viszeral‑, Endokrine und Minimal-invasive Chirurgie, München Klinik Bogenhausen, Englschalkinger Str. 77, 81925, München, Deutschland.

出版信息

Radiologe. 2019 Sep;59(9):786-790. doi: 10.1007/s00117-019-00582-4.

Abstract

Preoperative radiological diagnostics in patients with colorectal cancer has several objectives. The diagnostic localization of the colonic tumor is essential for planning the resection. The radiologically suspected infiltration of neighboring structures may lead to the decision for neoadjuvant treatment. In patients with rectal carcinomas, the T and N stages, the distance to the circumference resection margin (CRM), and the penetration of the tumor into the mesentery must be determined. This crucial to determine whether the patient should undergo neoadjuvant treatment. Prior to the planned relocation of an upstream stoma, radiological diagnostics may be added to clinical and endoscopic assessment but should not be routinely used.

摘要

结直肠癌患者的术前放射学诊断有几个目标。结肠肿瘤的诊断性定位对于规划切除手术至关重要。放射学怀疑的邻近结构浸润可能会导致新辅助治疗的决策。对于直肠癌患者,必须确定T和N分期、距环周切缘(CRM)的距离以及肿瘤向肠系膜的浸润情况。这对于确定患者是否应接受新辅助治疗至关重要。在计划上游造口重新定位之前,放射学诊断可补充到临床和内镜评估中,但不应常规使用。

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