对T1结肠直肠癌的内镜治疗
Klaus Metter1, Stephanie Ellen Weißinger2, Alinda Várnai-Händel3
1Klinik für Gastroenterologie, Hepatologie und Diabetologie, Alb Fils Kliniken, Klinik am Eichert, Eichertstraße 3, D-73035 Göppingen, Germany.
Cancers
|August 12, 2023
概括
对T1结直肠癌进行内镜切除需要足够的亚粘膜组织. 本综述研究了淋巴结转移风险和T1结直肠癌切除的内镜技术.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 病理学 病理学 病理学
背景情况:
- 传统上,T1结直肠癌 (T1CRC) 的治愈切除需要清晰的边缘 (R0),没有淋巴血管入侵 (L0,V0),低组织学等级 (G1/2),低瘤芽,有限的粘膜下侵袭 (<1000μm).
- 作为淋巴结转移的一个孤立的高风险因素,膜下侵袭深度的重要性正在重新评估中.
- 内镜切除质量对于T1CRC的准确分期和风险评估至关重要.
研究的目的:
- 审查目前关于T1结肠直肠癌内镜切除后淋巴结转移风险的文献.
- 讨论有关切除标本质量的各种内镜切除技术.
主要方法:
- 对T1结直肠癌和内镜切除研究的文献综述.
- 对治疗切除的标准和淋巴结转移的风险因素的分析.
- 基于样本质量的不同内镜切除技术的比较.
主要成果:
- 单独的粘膜下侵袭深度,没有其他高风险特征,对淋巴结转移风险可能并不像以前认为的那样重要.
- 高质量的内镜切除对于获得足够的亚粘膜组织以进行准确的病理评估至关重要.
- 不同的内镜技术在获得足够的组织以进行风险分层的能力方面有所不同.
结论:
- 对于T1CRC的内镜切除技术,必须优先考虑从质量和数量上获得足够的亚粘膜组织.
- 对T1CRC的准确风险分层依赖于切除样本的全面病理评估.
- 对优化T1CRC内镜切除技术的进一步研究是有必要的,以改善患者的治疗结果.
关键词:
对于EFTR来说,这是一个很好的方法.这是EMR的EMR.在ESD中,你会看到ESD.在ESR中,ESR是最重要的.在T1癌症的癌症.结肠直肠癌是什么意思内镜全厚切除切除术进行内镜粘膜切除.进行内镜切除切除.进行内镜下膜剖析.进行内镜下粘膜切除.淋巴结转移的风险 淋巴结转移的风险更多相关视频
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