中国实用外科杂志

中国实用外科杂志 ›› 2012, Vol. 32 ›› Issue (09): 724-727.

• 专家论坛 • 上一篇    下一篇

低位直肠癌新辅助与辅助放疗的原则问题——与外科医生的讨论

肖    琴，金    晶   

  1. 中国医学科学院附属肿瘤医院放疗科，北京100021
  • 出版日期:2012-09-01 发布日期:2012-08-29

  • Online:2012-09-01 Published:2012-08-29

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摘要：

近年来，直肠癌的治疗策略发生了很大变化，多学科的参与使直肠癌的疗效得到极大提高。其中同步放化疗理念的提出、术后同步放化疗转向术前同步放化疗，使更多的病人提高了局部控制率、避免放化疗的不良反应，同时可使一部分保留肛门无望的病人有保留正常器官的可能。因而可手术切除直肠癌的术前同步放化疗目前是标准治疗，是值得广泛推广应用的一项治疗手段。

关键词: 中低位直肠癌, 放射治疗：新辅助治疗

Abstract:

The principle of neoadjuvant and adjuvant radiotherapy for lower rectal carcinoma :discussion with surgeons                  XIAO Qin, JIN Jing. Department of Radiation Oncology, Cancer Hospital, Chinese Academy of Medical Sciences (CAMS) and Peking Union Medical College (PUMC), Beijing 100021,  China
Corresponding author:  JIN Jing, E-mail：jingjin25@yahoo.com.cn
Abstract    More recently, there has been great advances in the treatment strategy of rectal carcinoma. Especially, with the application of multi-disciplinary team, the management of rectal cancer has been improved significantly. Concurrent chemoradiotherapy(CRT) preoperatively rather than postoperatively, could improve local control, reduce advert effects of chemoradiotherapy, and even makes it possible to preserve the sphincter in some locally advanced patients. Therefore, for resectable rectal carcinoma, preoperative CRT plus surgery should be the standard treatment and be recommended.

Key words: rectal carcinoma；radiotherapy, neoadjuvant therapy