Acta Scientific Cancer Biology (ASCB)

Review Article Volume 4 Issue 1

Magnetic Resonance Imaging of Rectal Cancer - the Surgeon Principles

Toman D1,2*, Vavra P1,2, Ihnat P1,2, Foltys A1,2 and Roman J1,2

1The Department of Surgery, Faculty of Medicine, Ostrava University, The Czech Republic 2The Department of Surgery, University Hospital Ostrava, The Czech Republic

*Corresponding Author: Toman D, The Department of Surgery, Faculty of Medicine, Ostrava University and The Department of Surgery, University Hospital Ostrava, The Czech Republic.

Received: November 05, 2019; Published: December 06, 2019

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Abstract

Background: Rectal cancer as a part of colorectal cancers is one of the most common human malginancies. The incidence of colorectal cancer rose dramatically following economic development and industrialization. The clinical manifestation is based on the anatomical localization of the rectum in the pelvis. Rectal bleeding, the discomfort in the sense of tenesm or pain, blood and mucus spotting on underwear or the changes in defecation habits are the most common symptoms.

Methods: We searched from the PubMed, Google Scholar and Research gate database and looked for keywords rectal cancer, MRI, extramural venous invasion, total mesorecta excision, transrectal ultrasonography.

Results: The diagnostic methods should be aimed at determining the extent of tumour involvement, eventual fixation of the tumour or its ingrowth into surrounding organs or structures, the distance of the tumour from the an cutaneous line, also like the potential of metastatic spreading. Magnetic resonance imaging (MRI) in rectal cancer was first investigated in 1999 and now is essential in treatment planning. MRI has a high accuracy in predicting circumferential resection margin involvement and is used to plan the treatment strategy.

Conclusions: Radical surgical removal of the tumour is accompanied by other therapeutic modalities, including chemotherapy, radiotherapy and, in cases of metastases, targeted biological therapy as well. All of these modalities are based on multi-disciplinary meetings that selects the most appropriate treatment for patients with rectal cancer. In this review article, we will focus on the use of magnetic resonance imaging in the treatment of rectal cancer from a surgeon perspective.

Keywords: Rectal Cancer; MRI, Extramural Venous Invasion; Total Mesorectal Excision; Transrectal Ultrasonography

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References

  1. Siegel Rebecca., et al. “Colorectal Cancer Statistics 2014 ”. CA: A Cancer Journal for Clinicians2 (2014): 104-117.
  2. Siegel Rebecca L., et al. “Cancer Statistics, 2019”. CA: A Cancer Journal for Clinicians1 (2019): 7-34.
  3. Cancer of the Colon and Rectum - Cancer Stat Facts.
  4. Suzuki Chikako., et al. “The Importance of Rectal Cancer MRI Protocols on IInterpretation Accuracy”. World Journal of Surgical Oncology1 (2008): 89.
  5. Smith Neil J., et al. “MRI for Detection of Extramural Vascular Invasion in Rectal Cancer”. American Journal of Roentgenology5 (2008): 1517-1522.
  6. Kala Zdenek., et al. “Komplexní léčba karcinomu rekta”. Postgraduální Medicína3 (2014): 256-264.
  7. Jhaveri Kartik S and Hooman Hosseini-Nik. “MRI of Rectal Cancer: An Overview and Update on Recent Advances”. American Journal of Roentgenology1 (2015): 42-55.
  8. Kaur Harmeet., et al. “MR Imaging for Preoperative Evaluation of Primary Rectal Cancer: Practical Considerations”. Radio Graphics2 (2012): 389-409.
  9. Patel Uday B., et al. “Magnetic Resonance Imaging–Detected Tumor Response for Locally Advanced Rectal Cancer Predicts Survival Outcomes: MERCURY Experience”. Journal of Clinical Oncology28 (2011): 3753-3760.
  10. Miles WE. “A Method of Performing Abdomino-Perineal Excision for Carcinoma of the Rectum and of the Terminal Portion of the Pelvic Colon (1908)”. CA: A Cancer Journal for Clinicians6 (1971): 361-364.
  11. Emker Warren E., et al. “Total mesorectal excision in the operative treatment of carcinoma of the rectum”. Journal of the American College of Surgeons4 (1995): 335-346.
  12. Weiser Martin R., et al. “Sphincter Preservation in Low Rectal Cancer Is Facilitated by Preoperative Chemoradiation and Intersphincteric Dissection”. Annals of Surgery2 (2009): 236-242.
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Citation

Citation: Toman D., et al. “Magnetic Resonance Imaging of Rectal Cancer - the Surgeon Principles”.Acta Scientific Cancer Biology 4.1 (2020): 30-33.



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