Preview

Diagnostic radiology and radiotherapy

Advanced search

POSSIBILITIES OF IMAGING METHODS IN PREDICTING LATERAL METSATASIS IN PATIENTS WITH COLORECTAL CANCER

Abstract

Lymph node metastasis, as one of the main reasons of rectal cancer recurrence, currently are significant problem in oncocoloproctology in spite of the updating of diagnostic techniques of tumor staging. This becomes even more important with lateral pelvic lymph node metastasis. Lateral lymph node dissection widely used inJapanandKoreainvolves risk of increasing disuric events and sexual disorders. Preoperative chemoradiotherapy realized inRussia, Europe andUnited Statesis often inefficient and followed by side effects. Therefore there is necessity of finding new diagnostic techniques allowing to detect true metastasis and risk factors of lateral pelvic lymph node metastasis in order to optimize treatment policy for this group of patients. 

About the Authors

M. A. Belyaev
Pavlov First Saint Petersburg State Medical University
Russian Federation


A. A. Zaharchenko
Pavlov First Saint Petersburg State Medical University
Russian Federation


N. I. Ananeva
Saint Petersburg V. M. Bekhterev Institute of Psychoneurology; Saint Petersburg State University; Medical diagnostic center «Ramsay diagnostics»
Russian Federation


T. M. Rostovtseva
Saint Petersburg V. M. Bekhterev Institute of Psychoneurology; Medical diagnostic center «Ramsay diagnostics»
Russian Federation


A. N. Morozov
Pavlov First Saint Petersburg State Medical University
Russian Federation


A. A. Statsenko
Pavlov First Saint Petersburg State Medical University
Russian Federation


References

1. Roeder F., Treiber M., Oertel S. et al. Patterns of failure and local control after intraoperative electron boost radiotherapy to the presacral space in combination with total mesorectal excision in patients with locally advanced rectal cancer // Int. J. Radiat. Oncol. Biol. Phys.— 2007.— Vol. 67, № 5.— P. 1381–1388.

2. Wu Z. Y., Wan J., Li J. H. et al. Prognostic value of lateral lymph node metastasis for advanced low rectal cancer // World J. Gastroenterol.— 2007.— Vol. 13 (5).— P. 6048–6052.

3. Miles W. E. The spread of cancer of the rectum // Lancet.— 1925.— № 205.— Р. 1218–1219.

4. Morita T., Murata A., Koyama M. et al. Current status of autonomic nerve-preserving surgery for mid and lower rectal cancers: Japanese experience with lateral node dissection // Dis. Colon Rectum.— 2003.— Vol. 46, № 10 Suppl.— Р. 78–88.

5. Moriya Y., Sugihara K., Akasu T., Fujita S. Importance of extended lymphadenectomy with lateral node dissection for advanced lower rectal cancer // World J. Surg.— 1997.— Vol. 21, № 7.— Р. 728–732.

6. Захаренко А. А., Беляев М. А., Ананьева Н. И., Морозов А. Н., Стаценко А. А. // URL: http://medline.ru/public/pdf/15_037.pdf (05.02.2015).

7. Al-Sukhni E., Messenger D. E., Charles Victor J., McLeod R. S., Kennedy E. D. Do MRI reports contain adequate preoperative staging information for end users to make appropriate treatment decisions for rectal cancer? // Ann. Surg. Oncol.— 2013.— Vol. 20, № 4.— Р. 1148–1155.

8. Brown G., Dighe Sh., Taylor F. Clinical Staging: CT and MRI // Current Clinical Oncology: Rectal Cancer. International Perspectives on Multimodality Management.— 2010.— XII.— 316 p.

9. Балясникова С. С., Сураева Ю. Э., Долгушин Б. И., Барсу ков Ю. А, Мамедли З. З., Полыновский А. В., Кузьмичев Д. В. Роль магнитно-резонансной томографии в оценке местной распространенности рака прямой кишки // Колопроктология.— 2014.— № 1.— С. 4–13.

10. Mizukami Y., Ueda S., Mizumoto A., Sasada T., Okumura R., Kohno S., Takabayashi A. Diffusion-weighted magnetic resonance imaging for detecting lymph node metastasis of rectal cancer // World J. Surg.— 2011.— Apr. 35 (4).— P. 895–899.

11. Lollert A., Junginger T., Schimanski C. C., Biesterfeld S., Gockel I., Düber C., Oberholzer K. Rectal cancer: dynamic contrast-enhanced MRI correlates with lymph node status and epidermal growth factor receptor expression // J. Magn. Reson. Imaging.— 2014.— Jun. 39(6).— P. 1436–1442.

12. Bell S., Sasaki J., Sinclair G. et al. Understanding the anatomy of lymphatic drainage and the use of blue-dye mapping to determine the extent of lymphadenectomy in rectal cancer surgery: unresolved issues // Colorectal Dis.— 2009.— Vol. 11, № 5.— P. 443–449.

13. Ayoub S. Arterial supply to the human rectum // Acta Anat.— 1978.— Vol. 100.— Р. 317–327.

14. Didio L. J., Diaz-Franco C., Schemainda R., Bezerra A. J. Morphology of the middle rectal arteries. A study of 30 cadaveric dissections // Surg Radiol Anat.— 1986.— Vol. 8, № 4.— Р. 229–236.

15. Shafik A., Mostafa H. Study of the arterial pattern of the rectum and its clinical application // Acta Anat (Basel).— 1996.— Vol. 157, № 1.— Р. 80–86.


Review

For citations:


Belyaev M.A., Zaharchenko A.A., Ananeva N.I., Rostovtseva T.M., Morozov A.N., Statsenko A.A. POSSIBILITIES OF IMAGING METHODS IN PREDICTING LATERAL METSATASIS IN PATIENTS WITH COLORECTAL CANCER. Diagnostic radiology and radiotherapy. 2015;(3):90-95. (In Russ.)

Views: 527


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2079-5343 (Print)