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Preoperative Staging of Rectal Cancer

Endorectal Ultrasound and Endorectal MRI

  • Chapter
Colorectal Cancer

Part of the book series: Current Clinical Oncology ((CCO))

  • 244 Accesses

Abstract

The treatment algorithm for rectal cancer has changed markedly over the last decade. Radical surgery, either low anterior resection or abdominal perineal resection, is no longer the initial or only therapy for the majority of patients with rectal carcinoma. The reason for this is twofold: First, in both nonrandomized and randomized studies, preoperative multimodality treatment has been found to decrease the local recurrence rate and result in significant downstaging in patients with rectal tumors; second, local excision of rectal tumors has become the preferred treatment in highly selected, early-stage patients. Because of this, preoperative staging has become increasingly important in order to direct patients into the appropriate treatment arm. In addition, in patients who are downstaged after undergoing preoperative chemoradiation, postoperative decisions regarding further chemotherapy are often dependent on the preoperative stage alone. Therefore, it is imperative to have easily available, accurate preoperative imaging studies in order to assess not only the depth of penetration but also the presence of involved lymph nodes. In addition, before embarking on expensive and often physically demanding preoperative therapies, it is important to assure the absence of metastatic disease.

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Authors
  1. Spiros Hiotis
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  2. Sharon Weber
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  3. W. Douglas Wong
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Editors and Affiliations

  1. Gastrointestinal Oncology Division, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY, USA

    Leonard B. Saltz MD

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© 2002 Springer Science+Business Media New York

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Hiotis, S., Weber, S., Wong, W.D. (2002). Preoperative Staging of Rectal Cancer. In: Saltz, L.B. (eds) Colorectal Cancer. Current Clinical Oncology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-160-2_9

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  • DOI: https://doi.org/10.1007/978-1-59259-160-2_9

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-4684-9670-3

  • Online ISBN: 978-1-59259-160-2

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