Sugarbaker Paul H, Jelinek James S
Center for Gastrointestinal Malignancies, MedStar Washington Hospital Center, Washington, DC, USA.
Department of Radiology, MedStar Washington Hospital Center, Washington, DC, USA.
Surg Oncol. 2022 Mar;40:101690. doi: 10.1016/j.suronc.2021.101690. Epub 2021 Nov 24.
Prevention and treatment of peritoneal metastases from colon cancer is currently under a critical reevaluation. An expanded role of the radiologist in imaging the peritoneum and extrahepatic structures is crucial to progress in this endeavor.
The critical role of radiology in the evaluation of a primary colon cancer and in diagnosis and assessment of recurrent colon cancer is evaluated.
For primary colon cancer the radiologist should forewarn the multidisciplinary team of patients whose malignancy is at high risk for peritoneal metastases and for local recurrence. In recurrent colon cancer a quantitative assessment of the concerning radiologic features are of help to select patients for reoperation.
An improved primary surgical treatment strategy and more knowledgeable patient selection for reoperation can result from this information.
目前，结肠癌腹膜转移的防治正处于关键的重新评估阶段。放射科医生在腹膜及肝外结构成像方面发挥更大作用对于这项工作的进展至关重要。
评估放射学在原发性结肠癌评估以及复发性结肠癌诊断和评估中的关键作用。
对于原发性结肠癌，放射科医生应预先告知多学科团队哪些患者的恶性肿瘤发生腹膜转移和局部复发的风险较高。对于复发性结肠癌，对相关放射学特征进行定量评估有助于选择再次手术的患者。
这些信息可带来改进的原发性手术治疗策略以及更明智的再次手术患者选择。
