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关于早期结肠直肠癌内镜切除的AGA临床实践更新:评论评论

Saowanee Ngamruengphong¹, Mohamed O Othman², Andrew Y Wang³

¹Division of Gastroenterology and Hepatology, Department of Medicine, Johns Hopkins Hospital, Baltimore, Maryland.

Gastroenterology

|October 20, 2025

概括

T1结肠直肠癌 (CRC) 管理已经超越了手术. 现在,内镜切除是早期CRC的可行选择,在仔细考虑复发和转移风险的情况下,指导术后护理.

科学领域:

胃肠病学胃肠病学
在瘤学瘤学.
手术病理学手术病理学

背景情况:

T1结肠直肠癌 (CRC),以下粘膜入侵为特征,历来是通过手术治疗的.
最近内镜切除和了解CRC生物学方面的进展扩大了治疗选择.

研究的目的:

审查T1 CRC的定义和诊断标准.
评估T1 CRC.内镜切除的疗效和适用情况.
讨论转移和复发的风险分层,并指导切除后的管理策略.

主要方法:

专家评论和临床实践更新.
关于T1 CRC诊断,治疗和管理的当前文献的综述.
综合证据,为医疗保健专业人员提供指导.

主要成果:

内镜切除越来越多地用于选择T1CRC病例.
淋巴结转移和复发的危险因素对于治疗决策至关重要.
切除后的管理包括基于风险评估的监视或辅助手术.

结论:

管理T1CRC需要一个多学科的方法,整合内镜和外科选择.
准确的风险分层对于优化切除术后患者的治疗结果至关重要.
本AGA专家评论为管理T1 CRC的临床医生提供了最新的指导.

关键词:

腺癌是什么? 腺癌是什么?结肠直肠癌是什么意思内镜性粘膜切除切除粘膜切除内镜下粘膜解剖进行内镜下粘膜解剖.

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