中国实用外科杂志

中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (04): 318-320.

• 专题笔谈 • 上一篇    下一篇

中低位直肠癌局部复发诊断和治疗

王振军   

  1. 首都医科大学附属北京朝阳医院普外科，北京100020
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-04-03 发布日期:2009-04-03

  • Received:1900-01-01 Revised:1900-01-01 Online:2009-04-03 Published:2009-04-03

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摘要：

中低位直肠癌根治手术后局部复发是诊断和治疗上的难题，常见复发的部位包括吻合口、会阴部、骨性骨盆、盆内邻近脏器，表现为便血、会阴部疼痛不适，盆腔和骶前肿物等。手术后定期体格检查、CT、核磁、肿瘤标记物是目前诊断直肠癌局部复发的重要方法。对局部复发直肠癌的治疗决策，应根据局部复发的类型、复发癌的生物学特性和浸润范围等因素进行综合分析，从而决定是采取手术为主的综合治疗还是行放化疗等策略。

关键词: 局部复发性直肠癌, 根治性切除, 放化疗

Abstract:

iagnosis and treatment of local recurrent mid-lower rectal cancer WANG Zhen-jun. Department of General Surgery, Beijing Chaoyang Hospital,Capital Medical University, Beijing 100020,China Abstract Local recurrence of mid-lower rectal cancer persistently constitutes a challenging clinical problem. Recurrent lesion often located in anastomosis, perineum, osteal pelvis and adjacent organs in the pelvis. Clinical manifestation of local recurrent rectal cancer (LRRC) patients include blood stool, perineal pain, pelvic and presacral lump, et al. Regular postoperative physical examination, CT, MRI as well as tumor markers are important methods for diagnosis of LRRC. The treatment choice include excision as the main part of multimodality treatment or palliative radiochemotherapy on comprehensive analysis of type of recurrence, cancer biological features and involvement extent of recurrent cancer.

Key words: local recurrent rectal cancer, radical excision, radiochemotherapy