哪些瘤因素阻碍了直肠癌患者的器官保存?
Anna Hołdakowska1, Kamila Kurkowska1, Lucyna Pietrzak2
1Department of Radiology, M. Skłodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
概括
观察和等待 (w&w) 对于直肠癌患者具有特定特征,如cT3cdT4或正节点,是可行的,但对于那些近圆瘤或外壁血管侵入 (EMVI) 的人来说是不可行的. 这些发现完善了新辅助疗法后的w&w资格.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
背景情况:
- 评估已建立的排除标准,观察和等待 (w&w) 的直肠癌策略后新辅助疗法.
- 评估特定的临床和放射性特征对持续的临床完整反应 (cCR) 的影响.
结论:
- 在接受新辅助疗法后,不建议对近圆瘤或EMVI患者进行观察和等待.
- 患有cT3cdT4,cN2,大间直肠节点,正侧节点或MRF+的患者仍然可能是观察和等待的候选人.
- 精细的标准改善了患者选择观看和等待的情况,优化了治疗结果.
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