结直肠癌的新辅助治疗:综合性综述
Henry G Smith1, Per J Nilsson2, Benjamin D Shogan3
1Abdominalcenter K, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark.
结直肠癌的新辅助疗法正在发展. 总的新辅助疗法和免疫疗法在改善分别直肠癌和结肠癌的结果方面表现有前途.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
背景情况:
- 新辅助疗法已用于结直肠癌,但其作用正在演变.
- 治疗方式和手术指示的进步完善了新辅助治疗策略.
研究的目的:
- 审查目前的指导方针和最近的发展,用于结直肠癌的新辅助治疗.
- 提供对结肠和直肠癌新辅助疗法不断发展的景观的见解.
主要方法:
- 对最近的相关文献进行了叙事审查.
主要成果:
- 短期放射治疗和长期化学放射治疗可以改善直肠癌的局部控制,而不是系统控制.
- 总的新辅助疗法增强了局部反应,并减少了与标准化疗相比系统性复发风险.
- 非操作性管理对于完整的响应者来说是一个选择,但可能会影响功能结果.
- 新辅助化疗可能有利于局部先进的结肠癌与熟练的不匹配修复,尽管患者的选择是具有挑战性的.
- 新辅助免疫疗法正在改变对不匹配修复缺陷的结肠和直肠癌的治疗方法.
结论:
- 结肠和直肠癌的新辅助治疗方法复杂且不断发展.
- 由于新的治疗选择,患者和临床医生的决策日益复杂.
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