期刊文献+

直肠癌的术前评估——MRI的作用

下载PDF
导出
摘要 直肠癌不仅在发达国家有很高的发病率,我国的直肠癌发病率也有逐年上升的趋势。除了非常早期的直肠癌可以局部切除外,直肠癌主要的治疗方法仍是根治性手术。资料显示80%以上直肠癌患者处于进展期,生存率为40%~90%[1]。全直肠系膜切除术( total mesorectal excision,TME)已被证实可减少直肠癌的局部复发率。然而,远处及局部复发的危险仍持续威胁着直肠癌患者的生命。对于进展期直肠癌患者,术前放化疗是目前常用的提高根治性切除率和提高肿瘤局部控制率的治疗方法[1-3]。
出处 《中国继续医学教育》 2011年第9期35-38,共4页 China Continuing Medical Education
  • 相关文献

参考文献30

  • 1Wong RK;Tandan V;De Silva S.Pre-operative radiotherapy and curative surgery for the management of localized rectal carcinoma[J]Cochrane Database of Systematic Reviews,2007(02):CD002102.
  • 2Bosset JF;Collette L;Calais G.Chemotherapy with preoperative radiotherapy in rectal cancer[J]New England Journal of Medicine,2006(11):1114-1123.
  • 3Hospers GA;Punt C J;Tesselaar ME.Preoperative chemooradiotherapy with capecitabine and oxaliplatin in locally advanced rectal cancer,a phase Ⅰ-Ⅱ multicenter study of the Dutch Colorectal Cancer Group[J]Annals of Surgical Oncology,2007(10):2773-2779.
  • 4Gosens MJ;Dresen RC;Rutten HJ.Preoperative radiochemotherapy is successful also in patients with locally advanced rectal cancer who have intrinsically high apoptotic tumours[J]Annals of Oncology,2008(12):2026-2032.
  • 5Burton S;Brown G;Daniels I.MRI identifi ed prognostic features of tumors in distal sigmoid,rectosigmoid,and upper rectum:treatment with radiotherapy and chemotherapy[J]International Journal of Radiation Oncology ? Biology ? Physics,2006(02):445-451.
  • 6Brown G;Richards CJ;Newcombe RG.Rectal carcinoma:thin section MR imaging for staging in 28 patients[J]RADIOLOGY,1999(01):215-222.
  • 7Brown G;Radcliffe AG;Newcombe RG.Preoperative assessment of prognostic factors in rectal cancer using highresolution magnetic resonance imaging[J]British Journal of Surgery,2003(03):355-364.
  • 8Low RN;McCue M;Barone R.MR staging of primary colorectal carcinoma:comparison with surgical and histopathologic fi ndings[J]Abdominal Imaging,2003(06):784-793.
  • 9Akasu T;Iinuma G;Fujita T.Thin-section MRI with a phased-array coil for preoperative evaluation of pelvic anatomy and tumor extent in patients with rectal cance[J]American Journal of Roentgenology,2005(02):531-538.
  • 10MERCURY Study Group.Extramural depth of tumor invasion at thin-section MR in patients with rectal cancer:Results of the MERCURY study[J]RADIOLOGY,2007(01):132-139.

共引文献1

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部