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Locally Recurrent Disease Related to Anal Canal Cancers
- Source :
- Surgical Oncology Clinics of North America. 26:115-125
- Publication Year :
- 2017
- Publisher :
- Elsevier BV, 2017.
-
Abstract
- Surgery for anal cancer is usually reserved for patients with persistent disease or local recurrence after definitive chemoradiation therapy. Patients with local recurrence should be re-evaluated for evidence of metastatic disease using positron emission tomography-computed tomography, and the local anatomy should be delineated with MRI. Eligible patients should undergo tailored surgery with the aim of achieving an R0 resection. Management is best undertaken within a specialized multidisciplinary setting. Careful patient selection and shared decision making are paramount for achieving acceptable patient-centered outcomes.
- Subjects :
- medicine.medical_specialty
Anal Canal
Disease
03 medical and health sciences
0302 clinical medicine
Positron Emission Tomography Computed Tomography
medicine
Recurrent disease
Humans
Anal cancer
Retrospective Studies
R0 resection
business.industry
General surgery
Anal Squamous Cell Carcinoma
Chemoradiotherapy
Anal canal
Anus Neoplasms
medicine.disease
Combined Modality Therapy
Persistent Disease
medicine.anatomical_structure
Oncology
030220 oncology & carcinogenesis
Carcinoma, Squamous Cell
030211 gastroenterology & hepatology
Surgery
Neoplasm Recurrence, Local
business
Subjects
Details
- ISSN :
- 10553207
- Volume :
- 26
- Database :
- OpenAIRE
- Journal :
- Surgical Oncology Clinics of North America
- Accession number :
- edsair.doi.dedup.....f9ef2bfd53228c2aca2720b019d49552
- Full Text :
- https://doi.org/10.1016/j.soc.2016.07.006