Diagnostic and management strategies for lateral pelvic lymph nodes in low rectal cancer -a review of the evidence

被引：5

作者：

Chan, Dedrick Kok Hong ^{[1
,2
]}

Tan, Ker-Kan ^{[1
,2
]}

Akiyoshi, Takashi ^{[3
]}

机构：

[1] Natl Univ Hlth Syst, Univ Surg Cluster, Div Colorectal Surg, 1E Kent Ridge Rd, Singapore 119228, Singapore

[2] Natl Univ Singapore, Yong Loo Lin Sch Med, Dept Surg, Singapore, Singapore

[3] Japanese Fdn Canc Res, Gastroenterol Ctr, Dept Gastroenterol Surg, Canc Inst Hosp, Tokyo, Japan

来源：

JOURNAL OF GASTROINTESTINAL ONCOLOGY | 2019年 / 10卷 / 06期

关键词：

Lateral pelvic lymph node; neoadjuvant chemoradiotherapy; low rectal cancer; lateral pelvic lymph node dissection; COMPARING MESORECTAL EXCISION; PREOPERATIVE CHEMORADIOTHERAPY; JAPANESE SOCIETY; DISSECTION; COLON; LYMPHADENECTOMY; METASTASIS; CARCINOMA; SURGERY; PRESERVATION;

D O I：

10.21037/jgo.2019.01.22

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Patients with low rectal cancer who have enlarged lateral pelvic lymph nodes are known to have a worse prognosis. There is however uncertainty over what constitutes a lateral pelvic lymph node of clinical significance. As the main modality for the detection of such lymph nodes is magnetic resonance imaging (MRI), characteristics of these lateral lymph nodes identified may have prognostic value and assist with guiding treatment. Options to manage such lateral lymph nodes includes neoadjuvant chemoradiotherapy as well as lateral lymph node dissection. Surgery is extensive and may lead to significant morbidity to the patient. This review article evaluates diagnostic and management strategies in patients with lateral pelvic lymph nodes in low rectal cancer.

引用

页码：1200 / 1206

页数：7

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