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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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大肠直肠癌

Cathy Eng1, Takayuki Yoshino2, Erika Ruíz-García3

  • 1Division of Hematology and Oncology, Vanderbilt University Medical Center, Vanderbilt-Ingram Cancer Center, Nashville, TN, USA.

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全球结肠直肠癌发病率正在上升,尤其是在年轻患者中. 在全身治疗,手术和向治疗方面取得的进步正在改善这种常见癌症的生存率.

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科学领域:

  • 癌症学
  • 胃肠病学
  • 外科瘤学

背景情况:

  • 结肠直肠癌仍然是全球主要的癌症诊断,新兴经济体的发病率正在上升,早期发病病例 (年龄≤50岁) 越来越令人担忧.
  • 尽管一些高收入人群的发病率有所下降,但整体全球负担需要持续的研究和临床进展.

研究的目的:

  • 提供近期结直肠癌治疗临床进展的多学科概述.
  • 突出正在进行的关键研究领域和结直肠癌治疗的未来方向.

主要方法:

  • 本综述综合了目前临床研究和专家对结直肠癌管理的观点.
  • 它研究了全身疗法,手术技术和分子向治疗的进展.

主要成果:

  • 通过改进的全身疗法和手术选择,在提高整体存活率方面取得了显著进展.
  • 目前正在进行的研究重点是关节保护,精确瘤学,循环瘤DNA,微生物组分析和肝转移管理.

结论:

  • 多学科方法和持续的研究对于改善结直肠癌的结果至关重要.
  • 未来的方向强调个性化医疗和创新的地方战略来对抗这种疾病.