By Richard P. Billingham (auth.), Prof. Dr. med. Dr. h.c. Markus W. Büchler, PD Dr. med. Jürgen Weitz, Prof. Dr. med. Bernward Ulrich, Professor Richard John Heald (eds.)

Rectal melanoma is likely one of the such a lot typical cancers world-wide. it's also a paradigm for multimodal administration, because the mixture of surgical procedure, chemotherapy and radiotherapy is frequently essential to in attaining the optimum consequence. lately, foreign specialists met in Heidelberg, Germany to debate the newest advancements within the administration of rectal melanoma, together with the anatomic and pathologic foundation, staging instruments, surgical recommendations together with fast-track surgical procedure and laparoscopic resection, sensible consequence after surgical procedure and the position of radio- and chemotherapy. This monograph summarizes this assembly and provides an in depth review of the present thoughts in administration of rectal cancer.

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7% in the second series. 0002). When excluding all patients having undergone chemoradiation, the accuracy for staging of the T classification rose to 76%. 9% of patients). 2% of all T2-cancers). 5%. Accuracy for staging of the N classification was 76% in the first series versus 71% in the second series. 0003); Recent Results in Cancer Research, Vol. 165 c Springer-Verlag Berlin Heidelberg 2005 Diagnostics of Rectal Cancer: Endorectal Ultrasound 47 when excluding these patients the accuracy increased to 73%.

Dis Colon Rectum 32:128–133 15. Shimoyama M, Yamazaki T, Suda T, Hatakeyama K (2003) Prognostic significance of lateral lymph node micrometastases in lower rectal cancer. Dis Colon Rectum 46:333–339 16. Saito N, Koda K, Takiguchi N, Oda K, Soda H, Nunomura M et al (1999) Nerve-sparing surgery for advanced rectal cancer patients: special reference to Dukes C patients. World J Surg 23:1062–1068. 17. Uyama I, Sugioka A, Matsui H, Fujita J, Komori Y, Hanai T et al (2001) Laparoscopic lateral node dissection with autonomic nerve preservation for advanced lower rectal cancer.

Suggested that preoperative radiotherapy may be an alternative to extended lateral lymphadenectomy [23]. In his 44 Moritz Koch et al. retrospective study, 115 patients with low rectal cancer were divided into different therapy groups, and there was no difference between the group with radiotherapy (without lateral lymph node dissection) and the group with lateral lymph node dissection (without radiotherapy) in terms of overall survival, disease-free survival, and recurrence rate [23]. These results were later confirmed in a study by Koda et al.

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