TY - JOUR
T1 - Locally recurrent rectal cancer
T2 - what the radiologist should know
AU - Ganeshan, Dhakshinamoorthy
AU - Nougaret, Stephanie
AU - Korngold, Elena
AU - Rauch, Gaiane M.
AU - Moreno, Courtney C.
N1 - Publisher Copyright:
© 2019, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2019/11/1
Y1 - 2019/11/1
N2 - Despite advances in surgical techniques and chemoradiation therapy, recurrent rectal cancer remains a cause of morbidity and mortality. After successful treatment of rectal cancer, patients are typically enrolled in a surveillance strategy that includes imaging as studies have shown improved prognosis when recurrent rectal cancer is detected during imaging surveillance versus based on development of symptoms. Additionally, patients who experience a complete clinical response with chemoradiation therapy may elect to enroll in a “watch-and-wait” strategy that includes imaging surveillance rather than surgical resection. Factors that increase the likelihood of recurrence, patterns of recurrence, and the imaging appearances of recurrent rectal cancer are reviewed with a focus on CT, PET CT, and MR imaging.
AB - Despite advances in surgical techniques and chemoradiation therapy, recurrent rectal cancer remains a cause of morbidity and mortality. After successful treatment of rectal cancer, patients are typically enrolled in a surveillance strategy that includes imaging as studies have shown improved prognosis when recurrent rectal cancer is detected during imaging surveillance versus based on development of symptoms. Additionally, patients who experience a complete clinical response with chemoradiation therapy may elect to enroll in a “watch-and-wait” strategy that includes imaging surveillance rather than surgical resection. Factors that increase the likelihood of recurrence, patterns of recurrence, and the imaging appearances of recurrent rectal cancer are reviewed with a focus on CT, PET CT, and MR imaging.
KW - Magnetic resonance imaging
KW - Rectal cancer
KW - Recurrent rectal cancer
UR - http://www.scopus.com/inward/record.url?scp=85064522435&partnerID=8YFLogxK
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U2 - 10.1007/s00261-019-02003-5
DO - 10.1007/s00261-019-02003-5
M3 - Article
C2 - 30953096
AN - SCOPUS:85064522435
SN - 2366-004X
VL - 44
SP - 3709
EP - 3725
JO - Abdominal Radiology
JF - Abdominal Radiology
IS - 11
ER -