Dutch national guidelines for locally recurrent rectal cancer

被引：8

作者：

Piqeur, Floor ^{[1
,2
,3
]}

Banken, Evi ^{[4
,6
]}

Coolen, Lien ^{[7
]}

Tanis, Pieter J. ^{[8
]}

Maas, Monique ^{[4
,9
]}

Roef, Mark ^{[10
]}

Marijnen, Corrie A. M. ^{[3
]}

Hellemond, Irene E. G. van ^{[6
]}

Nederend, Joost ^{[7
]}

Rutten, Harm J. T. ^{[4
,5
]}

Peulen, Heike M. U. ^{[1
]}

Burger, Jacobus W. A. ^{[5
,11
]}

机构：

[1] Catharina Hosp, Dept Radiat Oncol, Michelangelolaan 2, NL-5623EJ Eindhoven, Netherlands

[2] Netherlands Canc Inst, Dept Radiat Oncol, Plesmanlaan 121, NL-1066 CX Amsterdam, Netherlands

[3] Leiden Univ, Dept Radiat Oncol, Med Ctr, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands

[4] Univ Maastricht, GROW Sch Oncol & Dev Biol, Univ Singel 40, NL-6229 ER Maastricht, Netherlands

[5] Catharina Hosp, Dept Surg, Michelangelolaan 2, NL-5623 EJ Eindhoven, Netherlands

[6] Catharina Hosp, Dept Med Oncol, Michelangelolaan 2, NL-5623 EJ Eindhoven, Netherlands

[7] Catharina Hosp, Dept Radiol, Michelangelolaan 2, NL-5623 EJ Eindhoven, Netherlands

[8] Erasmus MC, Dept Surg Oncol & Gastrointestinal Surg, Dr Molewaterpl 40, NL-3015 GD Rotterdam, Netherlands

[9] Netherlands Canc Inst, Dept Radiol, Plesmanlaan 121, NL-1066 CX Amsterdam, Netherlands

[10] Catharina Hosp, Dept Nucl Med, Michelangelolaan 2, NL-5623 EJ Eindhoven, Netherlands

[11] Michelangelolaan 2, NL-5623 EJ Eindhoven, Netherlands

来源：

CANCER TREATMENT REVIEWS | 2024年 / 127卷

关键词：

Locally recurrent rectal cancer; National Guideline; Care centralization; COLORECTAL-CANCER; INTRAOPERATIVE IRRADIATION; RADIATION-THERAPY; POOLED ANALYSIS; REIRRADIATION; CHEMOTHERAPY; METAANALYSIS; SURGERY; IORT; RADIOTHERAPY;

D O I：

10.1016/j.ctrv.2024.102736

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Due to improvements in treatment for primary rectal cancer, the incidence of LRRC has decreased. However, 6-12% of patients will still develop a local recurrence. Treatment of patients with LRRC can be challenging, because of complex and heterogeneous disease presentation and scarce - often low-grade - data steering clinical decisions. Previous consensus guidelines have provided some direction regarding diagnosis and treatment, but no comprehensive guidelines encompassing all aspects of the clinical management of patients with LRRC are available to date. The treatment of LRRC requires a multidisciplinary approach and overarching expertise in all domains. This broad expertise is often limited to specific expert centres, with dedicated multidisciplinary teams treating LRRC. A comprehensive, narrative literature review was performed and used to develop the Dutch National Guideline for management of LRRC, in an attempt to guide decision making for clinicians, regarding the complete clinical pathway from diagnosis to surgery.

引用

页数：9

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