CLINICAL-EXPERIENCE WITH LOCAL EXCISION AND POSTOPERATIVE RADIATION-THERAPY FOR RECTAL-CANCER

被引:24
作者
MINSKY, BD
机构
[1] Department of Radiation Oncology, Memorial Sloan-Kettering Cancer Center, New York
关键词
D O I
10.1007/BF02053949
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The standard surgical treatment for patients with potentially curable transmural and/or node-positive rectal cancer is a low anterior resection or abdominoperineal resection. There is increasing interest in the use of local excision and postoperative radiation therapy as primary therapy for selected rectal cancers. The limited data suggest that the approach of local excision and postoperative radiation therapy should be limited to patients with either T1 tumors with adverse pathologic factors or T2 tumors. Transmural tumors have a 24 percent local failure rate and are treated more effectively with standard surgery and preoperative or postoperative therapy. The results of local excision and postoperative radiation therapy are encouraging; however, more experience is needed to determine whether this approach ultimately has local control and survival rates similar to standard surgery.
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页码:405 / 409
页数:5
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