Cancro do Cólon: chegou a altura da RM?

Detalhes bibliográficos
Autor(a) principal: Semedo, Luís Curvo
Data de Publicação: 2019
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
DOI: 10.25748/arp.17766
Texto Completo: https://doi.org/10.25748/arp.17766
Resumo: Even if the only currently curative treatment for colon cancer is surgery, recently there has been a growing discussion about the benefit of neoadjuvant chemotherapy (nChT) for patients with locally advanced cancers at increased risk of recurrence, upon recognition of adverse prognostic factors. The first works about nChT in colon cancer have showed promising results.1-3 In specific, results from the FOXTROT trial, designed to evaluate the potential benefits of nChT for patients with locally advanced colon cancer, are greatly expected.1 If that treatment will become standard, pre-operative imaging will become a valuable tool to select patients for nChT.4 On the other hand, as some colon tumours are now surgically removed by laparoscopy, is important to recognize those patients in whom laparoscopy might not be appropriated, either because the tumor is bulky or locally advanced.5 Therefore, imaging could be important to select: 1) early cancers that may undergo surgical excision directly; 2) locally advanced cancers that may need nChT or require an open approach/radical surgery because of involvement of adjacent organs; and 3) metastatic cancers for which curative surgery is not primarily indicated.6 Traditionally, this selection has been performed by computed tomography (CT), but this method has some important limitations.7 As such, some recent works have focused on the role of magnetic resonance imaging (MRI) in colon cancer staging.4,6,8-10
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spelling Cancro do Cólon: chegou a altura da RM?Cancro do Cólon: chegou a altura da RM?Artigos OpiniãoEven if the only currently curative treatment for colon cancer is surgery, recently there has been a growing discussion about the benefit of neoadjuvant chemotherapy (nChT) for patients with locally advanced cancers at increased risk of recurrence, upon recognition of adverse prognostic factors. The first works about nChT in colon cancer have showed promising results.1-3 In specific, results from the FOXTROT trial, designed to evaluate the potential benefits of nChT for patients with locally advanced colon cancer, are greatly expected.1 If that treatment will become standard, pre-operative imaging will become a valuable tool to select patients for nChT.4 On the other hand, as some colon tumours are now surgically removed by laparoscopy, is important to recognize those patients in whom laparoscopy might not be appropriated, either because the tumor is bulky or locally advanced.5 Therefore, imaging could be important to select: 1) early cancers that may undergo surgical excision directly; 2) locally advanced cancers that may need nChT or require an open approach/radical surgery because of involvement of adjacent organs; and 3) metastatic cancers for which curative surgery is not primarily indicated.6 Traditionally, this selection has been performed by computed tomography (CT), but this method has some important limitations.7 As such, some recent works have focused on the role of magnetic resonance imaging (MRI) in colon cancer staging.4,6,8-10SPRMN2019-05-03T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25748/arp.17766por2183-13512183-1351Semedo, Luís Curvoinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-22T16:27:16Zoai:ojs.revistas.rcaap.pt:article/17766Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:00:02.304458Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Cancro do Cólon: chegou a altura da RM?
Cancro do Cólon: chegou a altura da RM?
title Cancro do Cólon: chegou a altura da RM?
spellingShingle Cancro do Cólon: chegou a altura da RM?
Cancro do Cólon: chegou a altura da RM?
Semedo, Luís Curvo
Artigos Opinião
Semedo, Luís Curvo
Artigos Opinião
title_short Cancro do Cólon: chegou a altura da RM?
title_full Cancro do Cólon: chegou a altura da RM?
title_fullStr Cancro do Cólon: chegou a altura da RM?
Cancro do Cólon: chegou a altura da RM?
title_full_unstemmed Cancro do Cólon: chegou a altura da RM?
Cancro do Cólon: chegou a altura da RM?
title_sort Cancro do Cólon: chegou a altura da RM?
author Semedo, Luís Curvo
author_facet Semedo, Luís Curvo
Semedo, Luís Curvo
author_role author
dc.contributor.author.fl_str_mv Semedo, Luís Curvo
dc.subject.por.fl_str_mv Artigos Opinião
topic Artigos Opinião
description Even if the only currently curative treatment for colon cancer is surgery, recently there has been a growing discussion about the benefit of neoadjuvant chemotherapy (nChT) for patients with locally advanced cancers at increased risk of recurrence, upon recognition of adverse prognostic factors. The first works about nChT in colon cancer have showed promising results.1-3 In specific, results from the FOXTROT trial, designed to evaluate the potential benefits of nChT for patients with locally advanced colon cancer, are greatly expected.1 If that treatment will become standard, pre-operative imaging will become a valuable tool to select patients for nChT.4 On the other hand, as some colon tumours are now surgically removed by laparoscopy, is important to recognize those patients in whom laparoscopy might not be appropriated, either because the tumor is bulky or locally advanced.5 Therefore, imaging could be important to select: 1) early cancers that may undergo surgical excision directly; 2) locally advanced cancers that may need nChT or require an open approach/radical surgery because of involvement of adjacent organs; and 3) metastatic cancers for which curative surgery is not primarily indicated.6 Traditionally, this selection has been performed by computed tomography (CT), but this method has some important limitations.7 As such, some recent works have focused on the role of magnetic resonance imaging (MRI) in colon cancer staging.4,6,8-10
publishDate 2019
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instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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dc.identifier.doi.none.fl_str_mv 10.25748/arp.17766