Son Gyung Mo, Park Su Bum, Kim Tae Un, Park Byung-Soo, Lee In Young, Na Joo-Young, Shin Dong Hoon, Oh Sang Bo, Cho Sung Hwan, Kim Hyun Sung, Kim Hyung Wook
Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea.
Department of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea.
J Anus Rectum Colon. 2022 Oct 27;6(4):203-212. doi: 10.23922/jarc.2022-046. eCollection 2022.
Treatment for early colon cancer has progressed rapidly, with endoscopic resection and minimally invasive surgery. It is important to select patients without risk of lymph node metastasis before deciding on endoscopic resection for early colon cancer treatment. Pathological risk factors include histologic grade of cancer cell differentiation, lymphovascular invasion, perineural invasion, tumor budding, and deep submucosal invasion. These risk factors for predicting lymph node metastasis are crucial for determining the treatment strategy of endoscopic excision and radical resection for early colon cancer. A multidisciplinary approach is emphasized to establish a treatment strategy for early colon cancer to minimize the risk of complications and obtain excellent oncologic outcomes by selecting an appropriate treatment optimized for the patient's stage and condition. Therefore, we aimed to review the optimal multidisciplinary treatment strategies, including endoscopy and surgery, for early colon cancer.
早期结肠癌的治疗进展迅速,包括内镜切除和微创手术。在决定采用内镜切除治疗早期结肠癌之前,选择没有淋巴结转移风险的患者非常重要。病理风险因素包括癌细胞分化的组织学分级、淋巴管浸润、神经周围浸润、肿瘤芽生和深层黏膜下浸润。这些预测淋巴结转移的风险因素对于确定早期结肠癌的内镜切除和根治性切除治疗策略至关重要。强调采用多学科方法来制定早期结肠癌的治疗策略,通过选择适合患者分期和病情的最佳治疗方法,将并发症风险降至最低并获得良好的肿瘤学结局。因此,我们旨在综述早期结肠癌的最佳多学科治疗策略,包括内镜检查和手术。