Seminars in surgical oncology最新文献_第7页

Role of endoscopy in the staging of esophageal and gastric cancer. 内镜在食管癌和胃癌分期中的作用。

Seminars in surgical oncology Pub Date : 2001-03-01 DOI: 10.1002/SSU.1020

H. Messmann, K. Schlottmann

引用次数: 23

Diagnosis and staging of gastrointestinal neoplasms. 胃肠道肿瘤的诊断和分期。

Seminars in surgical oncology Pub Date : 2001-03-01 DOI: 10.1002/SSU.1019

F. Badellino, M. Gipponi

引用次数: 0

Role of angiographic techniques in the preoperative staging and management of gastrointestinal neoplasms. 血管造影技术在胃肠肿瘤术前分期和治疗中的作用。

Seminars in surgical oncology Pub Date : 2001-03-01 DOI: 10.1002/SSU.1026

G. de Caro, G. Cittadini

引用次数: 3

Diagnostic and prognostic tumor markers in the gastrointestinal tract. 胃肠道肿瘤的诊断和预后指标。

Seminars in surgical oncology Pub Date : 2001-03-01 DOI: 10.1002/SSU.1028

E. Seregni, L. Ferrari, A. Martinetti, E. Bombardieri

引用次数: 15

Positron emission tomography (PET) and other nuclear medicine modalities in staging gastrointestinal cancer. 正电子发射断层扫描(PET)和其他核医学方式分期胃肠道癌症。

Seminars in surgical oncology Pub Date : 2001-03-01 DOI: 10.1002/SSU.1027

E. Bombardieri, G. Aliberti, Céline De Graaf, E. Pauwels, F. Crippa

{"title":"Positron emission tomography (PET) and other nuclear medicine modalities in staging gastrointestinal cancer.","authors":"E. Bombardieri, G. Aliberti, Céline De Graaf, E. Pauwels, F. Crippa","doi":"10.1002/SSU.1027","DOIUrl":"https://doi.org/10.1002/SSU.1027","url":null,"abstract":"Gastrointestinal (GI) cancers account for the second highest number of new tumor cases and deaths per year in the United States and Western Europe. The most frequently involved sites are, in descending order, the colorectum, stomach, pancreas, liver, bile duct, and esophagus. The most common tumor type is adenocarcinoma. Among the epithelial cancers, great attention has recently been given to the tumors of neuroendocrine origin. These concepts are relevant because nuclear medicine imaging is based on visualization by means of a particular uptake of radiolabelled tracers in cancer cells that concentrate the radioactive signal. This signal is detected and reconstructed in planar or tomographic images. Different radiopharmaceuticals have been proposed for diagnostic application in oncology (such as radiolabelled monoclonal antibodies (MAbs), receptor tracers, and positron-emitting radiopharmaceuticals), and they are currently used as tracers for tumor detection with different modalities and techniques. Most of these techniques demonstrate their clinical usefulness in the diagnosis of GI cancer. This work is not intended to be a comprehensive review of all the extensive experience and possibilities of nuclear medicine for the diagnosis of GI tumors; rather, it aims to summarize the current status of the most important approaches and their main indications in staging GI cancers.","PeriodicalId":77390,"journal":{"name":"Seminars in surgical oncology","volume":"14 1","pages":"134-46"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77485842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 26

Role of endoscopy in staging colorectal cancer. 内镜检查在结直肠癌分期中的作用。

Seminars in surgical oncology Pub Date : 2001-03-01 DOI: 10.1002/SSU.1021

F. Frascio, A. Giacosa

引用次数: 11

Role of conventional radiology in the diagnosis and staging of gastrointestinal tract neoplasms. 常规影像学在胃肠道肿瘤诊断和分期中的作用。

Seminars in surgical oncology Pub Date : 2001-03-01 DOI: 10.1002/SSU.1023

N. Gourtsoyiannis, J. Grammatikakis, P. Prassopoulos

{"title":"Role of conventional radiology in the diagnosis and staging of gastrointestinal tract neoplasms.","authors":"N. Gourtsoyiannis, J. Grammatikakis, P. Prassopoulos","doi":"10.1002/SSU.1023","DOIUrl":"https://doi.org/10.1002/SSU.1023","url":null,"abstract":"Preoperative diagnosis and staging of primary gastrointestinal (GI) neoplasms are challenges for both clinicians and radiologists. Barium studies are very sensitive in disclosing primary malignancies, even at an early stage. Radiologic signs depend on the evolutional stage of the disease and its appearance on gross pathology. A neoplasm may be manifested on barium studies by a wide spectrum of findings, including mucosal abnormalities, mass presence, ulcerative lesions, submucosal infiltration, and lumen stenosis. Advanced disease can be accurately diagnosed, whereas early cancer should be differentiated from other neoplastic or inflammatory disorders by meticulous analysis of radiologic findings. The extent of GI involvement and multiplicity of the lesions can be assessed on barium studies. In the staging of GI neoplasms, barium studies are of little value. Skeletal survey by conventional radiographs and chest plain films can reveal distant metastases in a short time and with low cost, although they are not that sensitive to the detection of early or subtle lesions. The exact role of conventional radiology in the imaging workup of GI malignancies depends on local expertise and availability of other diagnostic techniques and modalities.","PeriodicalId":77390,"journal":{"name":"Seminars in surgical oncology","volume":"66 1","pages":"91-108"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86407993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 16

Role of video-laparoscopy in the staging of intra-abdominal lymphomas and gastrointestinal cancer. 腹腔镜在腹腔内淋巴瘤和胃肠道肿瘤分期中的作用。

Seminars in surgical oncology Pub Date : 2001-03-01 DOI: 10.1002/SSU.1029

A. Cuschieri

{"title":"Role of video-laparoscopy in the staging of intra-abdominal lymphomas and gastrointestinal cancer.","authors":"A. Cuschieri","doi":"10.1002/SSU.1029","DOIUrl":"https://doi.org/10.1002/SSU.1029","url":null,"abstract":"There is good category II/III evidence that video-laparoscopic staging is valuable in certain gastrointestinal (gastric, esophageal, pancreatic, and hepatobiliary) and intra-abdominal lymphomas, but no category I evidence (based on prospective randomized trials). The evidence available is all retrospective, but of sufficient consistency to indicate that laparoscopic staging adds to the primary (imaging) staging and often alters the clinical stage of the disease and hence the management of the individual patient. The advent of laparoscopic contact ultrasound (LCU) scanning has improved the staging accuracy for pancreatic and hepatobiliary neoplasms. The laparoscopic approach also offers a means of surgical palliation in certain patient groups. However, there are a number of unresolved issues concerning the use of video-laparoscopy. The most important concerns whether staging laparoscopy should be performed immediately before scheduled surgery or as a separate intervention. The cost-efficacy of these two management options needs to be evaluated in prospective studies. In some centres, laparoscopic staging is being conducted by gastroenterologists and hepatologists. This raises issues of safety and ability to undertake certain procedures that may be necessary during the laparoscopic staging.","PeriodicalId":77390,"journal":{"name":"Seminars in surgical oncology","volume":"8 1","pages":"167-72"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79040505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14

Role of ultrasonography in the staging of gastrointestinal neoplasms. 超声检查在胃肠道肿瘤分期中的作用。

Seminars in surgical oncology Pub Date : 2001-03-01 DOI: 10.1002/SSU.1022

C. Neumaier, G. Cittadini, A. Grasso, M. Dahmane

引用次数: 13

Bladder preservation in muscle-invasive bladder cancer by conservative surgery and radiochemotherapy. 肌肉浸润性膀胱癌的保守手术和放化疗膀胱保存。

Seminars in surgical oncology Pub Date : 2001-01-01 DOI: 10.1002/SSU.1013

J. Dunst, C. Rödel, A. Zietman, K. Schrott, R. Sauer, W. Shipley

{"title":"Bladder preservation in muscle-invasive bladder cancer by conservative surgery and radiochemotherapy.","authors":"J. Dunst, C. Rödel, A. Zietman, K. Schrott, R. Sauer, W. Shipley","doi":"10.1002/SSU.1013","DOIUrl":"https://doi.org/10.1002/SSU.1013","url":null,"abstract":"Organ preservation has been investigated in muscle-invasive bladder cancer over the past decades as an alternative to standard radical cystectomy. The results of large prospective protocols and population-based studies suggest that an organ-preserving approach is possible without deferring the survival probability. Organ preservation requires a trimodal schedule, including transurethral surgery (transurethral resection of bladder tumor (TURBT)), radiation, and chemotherapy. A complete TURBT is the most important single prognostic factor, and should be attempted. Radiotherapy, in conjunction with concurrent platinum-based chemotherapy, can control the vast majority of urothelial bladder tumors. The histologically-proven complete remission rates of macroscopic tumors (unresectable by TURBT) lie in the range of about 70%. After radiochemotherapy, a histological response evaluation with repeated TURBT is recommended. Patients with residual tumor require salvage cystectomy. In cases of complete remission, patients can maintain their bladders but they should be closely followed over years. The risk of severe late-radiation sequelae is low, in the range of less than 5%. About 75% of long-term survivors maintain a normally functioning bladder.","PeriodicalId":77390,"journal":{"name":"Seminars in surgical oncology","volume":"69 6 1","pages":"24-32"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91106423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 53