Utilization of Pelvic MRI for Nodal Staging in Rectal Cancer Staging

Publication date: Available online 4 August 2020Source: Academic RadiologyAuthor(s): Eric S. Fair, Petar Duvnjak
Source: Academic Radiology - Category: Radiology Source Type: research

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In conclusion, although distant RFS was not significantly different between the two arms, pre-OP CRT was significantly associated with a lower risk of peritoneal recurrence than post-OP CRT in patients non-metastatic rectal cancer. PMID: 32973956 [PubMed]
Source: Oncology Letters - Category: Cancer & Oncology Tags: Oncol Lett Source Type: research
CONCLUSION: This is the first case report of the successful pregnancy following sphincter sparing curative pelvic radiotherapy for rectal cancer. Furthermore it allows us to propose an increased limit dose to the uterus enabling fertility sparing beyond the limits achieved from total body irradiation series with 12-14 Gy and accept 16 Gy as uterine body (35 Gy for uterine cervix) limit for IMRT treatment planning in young patients asking for maintaining fertility potential. PMID: 32975243 [PubMed - as supplied by publisher]
Source: Biomedical Papers of the Medical Faculty of the Univ Palacky Olomouc Czech Repub - Category: Biomedical Science Tags: Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub Source Type: research
Conditions:   Rectal Cancer Stage;   Oesophageal Cancer Interventions:   Radiation: CRT;   Radiation: SCPRT;   Radiation: CROSS Protocol;   Diagnostic Test: PD-L1 PET Sponsors:   Johannes Laengle, MD, PhD;   Christian Doppler Laboratory Applied Metabolomics Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
We investigated the correlations between surgery-related factors and the incidence of anastomotic leakage after low anterior resection (LAR) for lower rectal cancer.
Source: BMC Gastroenterology - Category: Gastroenterology Authors: Tags: Research article Source Type: research
Background: The omission of surgery via nonoperative management (NOM) for rectal cancer may be increasing, and this strategy could be particularly attractive for younger patients, whose incidence of rectal cancer has been rising. We sought to assess trends in NOM in young (younger than 55 y) versus older adult (55 y and older) rectal cancer cohorts. Methods: The National Cancer Database was used to identify patients diagnosed with stage II to III rectal cancer between 2010 and 2015. Multivariable logistic regression defined the association between sociodemographic variables and odds of NOM, including an ...
Source: American Journal of Clinical Oncology - Category: Cancer & Oncology Tags: Original Articles: Gastrointestinal Source Type: research
Authors: Ochiai Y, Matsui A, Ito S, Takazawa Y, Kikuchi D, Hoteya S Abstract A 45-year-old man visited our institution due to the onset of hematochezia. He had a previous episode nine years earlier and colonoscopy at that time revealed multiple polyps, which were consistent with inflammatory cloacogenic polyps (ICPs) on the dentate line. Colonoscopy was performed again and two of the ICPs had grown. Both lesions were pathologically diagnosed as adenocarcinomas based on biopsies. Endoscopic submucosal dissection (ESD) was performed and the two lesions were diagnosed as double well-differentiated adenocarcinomas aris...
Source: Internal Medicine - Category: Internal Medicine Tags: Intern Med Source Type: research
This study enrolled 886 consecutive patients with rectal cancer, who underwent curative robot-assisted LAR at Asan Medical Center (Seoul, Korea) between July 2010 and August 2017 (the first vs second period;n = 399 vs 487). The quality of TME and lateral pelvic mesorectal excision (LPME) were analyzed, as were LR rates and survival outcomes.ResultsComplete TME and LPME were achieved in 89.2% and 80.1% of these patients, respectively, with  ≤ 1% having incomplete TME excluding intramesorectal excision. LR rates were 13.5 and 14.5 times higher in patients with incomplete TME and LPME, respectiv...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
ConclusionThe use of ICG to visualize tissue perfusion in low rectal resections for cancer can lead to a reduction of AL.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
AbstractBackgroundAlthough transanal total mesorectal excision (ta-TME) is adopted for rectal cancer surgery by an increasing number of surgeons, it is still technically challenging. We have employed a lateral-first approach for ta-TME to overcome technical difficulties. However, its outcomes and advantage over conventional laparoscopic TME remain unclear.MethodsThirty-five consecutive patients who underwent ta-TME using a lateral-first approach (the ta-TME group) and 53 consecutive patients who underwent conventional laparoscopic TME (the lap-TME group) for low rectal cancer were included. Propensity score matching (PSM) ...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
Conditions:   Rectal Cancer;   Radiotherapy;   Immunotherapy;   Organ Preservation Interventions:   Drug: Chemotherapy;   Drug: Immunotherapy;   Radiation: IMRT Sponsor:   Wuhan Union Hospital, China Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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