恶性直肠多胞体-A叙述审查的管理
Zhen Hao Ang1,2, Shing Wai Wong1,2
1Department of Colorectal Surgery, Prince of Wales Hospital, Sydney, NSW 2031, Australia.
本综述更新了恶性直肠息肉的管理策略. 准确的风险分层是确定哪些患者需要这些复杂病例的瘤切除的关键.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 在瘤学瘤学.
背景情况:
- 恶性直肠息肉带来了独特的管理挑战.
- 将它们与结肠对应物区分开来至关重要.
研究的目的:
- 为恶性直肠多提供关于恶性直肠多的管理方法的当代更新.
- 讨论这些病变的当前选择和考虑.
主要方法:
- 进行了全面的文献审查.
- 搜索的数据库包括PubMed,Embase和Cochrane. 这些数据库的搜索内容包括:
- 优先考虑的是英语出版物.
主要成果:
- 组织病理学特征 (边缘,入侵深度,等级,LVI,芽) 预测淋巴结转移风险.
- 推通过直肠切除,以完全去除聚和评估边缘.
- 总的新辅助疗法和"观察和等待"策略使管理复杂化.
结论:
- 有效的管理取决于患者的精确风险分层.
- 识别那些将从瘤切除中受益的患者至关重要.
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