首页> 美国卫生研究院文献>BMC Cancer >Organ Preservation in Rectal Adenocarcinoma: a phase II randomized controlled trial evaluating 3-year disease-free survival in patients with locally advanced rectal cancer treated with chemoradiation plus induction or consolidation chemotherapy and total mesorectal excision or nonoperative management
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Organ Preservation in Rectal Adenocarcinoma: a phase II randomized controlled trial evaluating 3-year disease-free survival in patients with locally advanced rectal cancer treated with chemoradiation plus induction or consolidation chemotherapy and total mesorectal excision or nonoperative management

机译:直肠腺癌的器官保存:一项II期随机对照试验评估在局部晚期直肠癌患者中进行化学放疗诱导或巩固化疗以及全直肠系膜切除或非手术治疗的3年无病生存率

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摘要

BackgroundTreatment of patients with non-metastatic, locally advanced rectal cancer (LARC) includes pre-operative chemoradiation, total mesorectal excision (TME) and post-operative adjuvant chemotherapy. This trimodality treatment provides local tumor control in most patients; but almost one-third ultimately die from distant metastasis. Most survivors experience significant impairment in quality of life (QoL), due primarily to removal of the rectum. A current challenge lies in identifying patients who could safely undergo rectal preservation without sacrificing survival benefit and QoL.
机译:背景技术非转移性局部晚期直肠癌(LARC)患者的治疗包括术前放化疗,全直肠系膜切除术(TME)和术后辅助化疗。这种三联疗法可为大多数患者提供局部肿瘤控制。但几乎有三分之一最终死于远处转移。大多数幸存者的生活质量(QoL)受到严重损害,这主要是由于直肠切除所致。当前的挑战在于确定可以安全地进行直肠保存而不牺牲生存获益和生活质量的患者。

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