title: Histopathological and radiological reporting in rectal cancer: concepts and controversies, facts and fantasies.
abstract: In rectal cancer patients, the stage of the disease, local spread and distant metastases status drive the treatment decisions to be made. Histopathology remains the gold standard, but preoperative staging, particularly magnetic resonance imaging (MRI), is pivotal for defining surgical planes and finding patients who could potentially benefit from preoperative regimes. Unfortunately, due to a lack of awareness, expertise and practise the quality of rectal cancer MRI and histopathology reporting varies among centres. This paper highlights the most important and frequently occurring radiological and histopathological discrepancies/mistakes to be aware of.
authors.affiliation: Department of Radiology, The Royal Marsden NHS Foundation Trust, Sutton, UK.|Department of Radiology, The Royal Marsden NHS Foundation Trust, Fulham, UK.|Imperial College London, London, UK.
authors.forename: S
authors.initials: S
authors.lastname: Balyasnikova
authors.affiliation: Department of Histopathology, Spire Hospital Healthcare Trust, Russell Road, Whalley Range, Manchester, M16 8AJ, UK. najibhaboubi@hotmail.com.
authors.forename: N
authors.initials: N
authors.lastname: Haboubi
authors.affiliation: Department of Colorectal Surgery, North Hampshire Hospital, Basingstoke, UK.
authors.forename: B
authors.initials: B
authors.lastname: Moran
authors.affiliation: Department of Radiology, The Royal Marsden NHS Foundation Trust, Sutton, UK.|Department of Radiology, The Royal Marsden NHS Foundation Trust, Fulham, UK.|Imperial College London, London, UK.
authors.forename: G
authors.initials: G
authors.lastname: Brown
mesh_terms: D059186:Chemoradiotherapy, Adjuvant; D006801:Humans; D007417:Intestinal Polyps / Q000000981:diagnostic imaging* / Q000473:pathology*; D008198:Lymph Nodes / Q000000981:diagnostic imaging / Q000473:pathology; D008207:Lymphatic Metastasis; D008279:Magnetic Resonance Imaging; D020360:Neoadjuvant Therapy; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D010347:Patient Care Planning; D057234:Preoperative Period; D012004:Rectal Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000628:therapy; D066066:Response Evaluation Criteria in Solid Tumors; D014680:Veins / Q000000981:diagnostic imaging / Q000473:pathology
keywords: Histopathological reporting; MRI staging; Rectal cancer