IMPORTANCE OF EXTRAMURAL VASCULAR INVASION IN PREOPERATIVE STAGING OF RECTAL CANCER WITH MRI
Journal
Македонски медицински преглед = Macedonian medical review
Date Issued
2018-03-03
Author(s)
Abstract
Introduction. Rectal cancer is the third most common
malignant disease worldwide with a high mortality rate
in developed countries. The prognosis of rectal cancer
has been significantly improved over the past decade,
and this is mainly due to progress in preoperative staging,
which has been reflected in the therapeutic approach,
where a significant change was made from simple surgical
treatment to multimodal treatment. Although extramural
vascular invasion (EMVI) is not included in the classical
protocol for preoperative staging, itis a significant
prognostic indicator of the recurrence rate.
Methods. The study is a prospective one, and it included
61 hospital patients with previously proven rectal
cancer, who had been operated on at the Department
of Abdominal Surgery ofthe University Clinic for Surgical
Diseases “St. Naum Ohridski” in Skopje, and who
underwent a magnetic resonance staging preoperatively.
Results. Comparison of extramural vascular invasion
determined with MR preoperatively with pathohistological
postoperatively obtained result.
Conclusion. MR as an ideal imaging method in preoperative
staging of rectal carcinoma. It is a tool that
determines with high accuracy the extramural vascular
invasion in patients with rectal cancer.
malignant disease worldwide with a high mortality rate
in developed countries. The prognosis of rectal cancer
has been significantly improved over the past decade,
and this is mainly due to progress in preoperative staging,
which has been reflected in the therapeutic approach,
where a significant change was made from simple surgical
treatment to multimodal treatment. Although extramural
vascular invasion (EMVI) is not included in the classical
protocol for preoperative staging, itis a significant
prognostic indicator of the recurrence rate.
Methods. The study is a prospective one, and it included
61 hospital patients with previously proven rectal
cancer, who had been operated on at the Department
of Abdominal Surgery ofthe University Clinic for Surgical
Diseases “St. Naum Ohridski” in Skopje, and who
underwent a magnetic resonance staging preoperatively.
Results. Comparison of extramural vascular invasion
determined with MR preoperatively with pathohistological
postoperatively obtained result.
Conclusion. MR as an ideal imaging method in preoperative
staging of rectal carcinoma. It is a tool that
determines with high accuracy the extramural vascular
invasion in patients with rectal cancer.
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