Preoperative assessment of rectal cancer stage: state of the art.
Rectal cancer is one of the most common tumors worldwide; it accounts for approximately 25-30% of cancers arising in the large bowel. Owing to greater distribution of screening programs and better attention from both patients and General Practitioners to this disease, in recent years we have observed an increasing number of cases diagnosed in the early stages, with a consequent better prognosis. The improved 5-year survival is also partially due to better, and more accurate, diagnostic techniques and to more curative treatments. In this review, the authors analyze and discuss the more recent diagnostic techniques for an accurate preoperative staging of rectal cancer, highlighting each method's advantages and limits for their routine use in clinical practice.
Rovera
Francesca
F
Clinical Lecturer, Department of Surgical Sciences, University of Insubria, Azienda Ospedaliero-Universitaria, Fondazione Macchi, Viale Borri 57, 21100 Varese, Italy. francesca.rovera@uninsubria.it
Dionigi
Gianlorenzo
G
Iosca
Simona
S
Carrafiello
Gianpaolo
G
Recaldini
Chiara
C
Boni
Luigi
L
Carcano
Giulio
G
Diurni
Mario
M
Dionigi
Renzo
R
D006801:Humans; D007414:Intestinal Neoplasms / Q000473:pathology; D009367:Neoplasm Staging; D011300:Preoperative Care; D012004:Rectal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D014463:Ultrasonography