Lateral lymph node dissection for low rectal cancer: Is it necessary?
Chemoradiotherapy
/ methods
Gastroenterology
/ standards
Humans
Iliac Artery
Japan
Lymph Node Excision
/ methods
Lymph Nodes
/ pathology
Lymphatic Metastasis
/ pathology
Medical Oncology
/ standards
Neoadjuvant Therapy
/ methods
Practice Guidelines as Topic
Proctectomy
/ methods
Rectal Neoplasms
/ pathology
Treatment Outcome
Extended lymphadenectomy
Lateral node metastasis
Mesorectal resection
Total mesorectum excision
Journal
World journal of gastroenterology
ISSN: 2219-2840
Titre abrégé: World J Gastroenterol
Pays: United States
ID NLM: 100883448
Informations de publication
Date de publication:
21 Aug 2019
21 Aug 2019
Historique:
received:
05
05
2019
revised:
19
06
2019
accepted:
19
07
2019
entrez:
10
9
2019
pubmed:
10
9
2019
medline:
15
2
2020
Statut:
ppublish
Résumé
Rectal cancer constitutes a major public health issue. Total mesorectal excision has remained the gold standard treatment for mid and low rectal tumors since its introduction in the late 1980s. Removal of all lymph nodes located in the mesorectum has indeed improved pathological and oncological outcomes. However, when cancer spreads to the lateral lymph nodes (located along the iliac and obturator arteries) Western and Japanese practices differ. Where the Western guidelines consider this condition as an advanced form of the disease and use neoadjuvant radiochemotherapy liberally, the Japanese guidelines define it as a local disease and proceed to lateral lymph node dissection with or without neoadjuvant treatment. Herein, we review the current literature regarding both therapeutic strategies, with the aim of contributing to potential improvements in treatment and outcome for patients with low and mid rectal cancer.
Identifiants
pubmed: 31496614
doi: 10.3748/wjg.v25.i31.4294
pmc: PMC6710187
doi:
Types de publication
Editorial
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
4294-4299Déclaration de conflit d'intérêts
Conflict-of-interest statement: The authors declare no conflicts of interest.
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