中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (04): 287-290.
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汪建平
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摘要:
中低位直肠癌的治疗致残性明显,早期治疗效果好,因此早期诊断和及时处理癌前病变是关键。在病理诊断的同时提供了对治疗的选择和预后有指导意义的分子标记物,已经逐渐成为常规。影像学的进步为准确的治疗前诊断和分期提供可靠依据,指导治疗方案的选择。多学科综合治疗和个体化治疗是中低位直肠癌的治疗的主要原则,越来越多的研究在关注如何最佳地联合多学科的手段,提高存活率的同时减少对病人的创伤和避免过度治疗,尽可能保留病人肛门功能和自主神经功能,维持病人良好的生活质量。
关键词: 癌前病变, 多学科综合治疗, 个体化治疗, 中低位直肠癌
Abstract:
Diagnosis and treatment of medium low rectal cancer in the status quo and outlook WANG Jian-ping. Department of Gastrointestinal Surgery, the Sixth Affiliated (Gastrointestinal and Anal Hospital) of Sun Yat-sen University, Guangzhou 510655, China Abstract Middle-low rectal cancer is a common disease with high morbidity. It is of vital importance for early detection and early treatment, which results in high survival rate. In addition, it is becoming routine to provide prognostic and predictive factors for treatment selection and prognosis when diagnosing. The progress in image methods has made reliable information for pre-treatment diagnosis and staging, which helps to make treatment strategy. Multi-disciplinary treatment and individual treatment are two major principles when treating middle-low rectal cancer. More and more studies are carried on to find the best combination of operation, radiation and chemotherapy. The aims of treatment are to improve survival rate as well as to maintain the function of anus and pelvic automatic nerve. Quality of life is the crucial focus during the whole process of treating patients with middle-low rectal cancer.
Key words: medium low rectal cancer, multimodality therapy, individual therapy, precancerous lesions
汪建平. 中低位直肠癌诊治现状及展望[J]. 中国实用外科杂志, 2009, 29(04): 287-290.
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