By T. Wiegel, INTERNATIONAL SYMPOSIUM ON SPECIAL ASPEC
This quantity discusses diagnostic and healing ideas together with present arguable concerns within the administration of gastrointestinal tumors. designated emphasis is given to rectal and pancreatic melanoma. the 1st half provides the newest diagnostic advancements for rectal melanoma with a spotlight at the position of preoperative radiotherapy and radio-chemotherapy. additionally thought of is the surgical means of overall mesorectal excision. Recurrent rectal melanoma is one other vital factor below dialogue. a wide part of the booklet is dedicated to the analysis and interdisciplinary therapy of pancreatic melanoma. Controversies in regards to the function of adjuvant radiochemotherapy are awarded intimately. the ultimate half is devoted to the therapy of liver metastases and describes the result of surgical resection and new healing methods reminiscent of in situ ablation and radiosurgery. This publication deals an interdisciplinary viewpoint on gastrointestinal tumor remedy.
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Additional resources for Controversies in Gastrointestinal Tumor Therapy: 6th International Symposium on Special Aspects of Radiotherapy, Berlin, September 5-7, 2002 (Frontiers of Radiation Therapy and Oncology)
4. Sites of recurrence after low anterior resection: areas involved in less than 10% excluded. Höcht/Hammad/Thiel/Wiegel/Siegmann/Willner/Wust/ Herrmann/Eble/Carstens/Flentje/Neumann/Hinkelbein 46 Fig. 5. Sites of recurrence after abdominoperineal resection: areas involved in less than 10% excluded. Fig. 6. Differences in extension of tumor recurrences after LAR vs. APR. , and have dramatic impacts on the quality of life of the afflicted patients. Once the tumor has recurred, chances of cure are small even when extensive resections and multimodality treatment strategies are applied, and only patients with small recurrent tumors at the site of the anastomosis seem to fare better [14–17].
Mason AY: Rectal cancer: The spectrum of selective surgery. Proc R Soc Med 1976;69: 237–244. Nicholls RJ, Mason AY, Morson BC, Dixon AK, Fry IK: The clinical staging of rectal cancer. Br J Surg 1982;69:404–409. Grabbe E, Lierse W, Winkler R: The perirectal fascia: Morphology and use in staging of rectal carcinoma. Radiology 1983;149:241–246. Hunerbein M, Pegios W, Rau B, Vogl TJ, Felix R, Schlag PM: Prospective comparison of endorectal ultrasound, three-dimensional endorectal ultrasound, and endorectal MRI in the preoperative evaluation of rectal tumors.
Sauer R, Fietkau R, Wittekind C, et al: Adjuvant versus neoadjuvant radiochemotherapy for locally advanced rectal cancer: A progress report of a phase-III randomized trial. Strahlenther Onkol 2001,177:173–181. Bosset JF, Pavy JJ, Bolla M, et al: Four arms phase III clinical trial for T3-T4 resectable rectal cancer comparing preoperative pelvic irradiation to preoperative irradiation combined with fluorouracil and leucovorin, with or without postoperative adjuvant chemotherapy. EORTC Radiotherapy Cooperative Group.