The diagnosis and management of rectal cancer: expert discussion and recommendations derived from the 9th World Congress on Gastrointestinal Cancer, Barcelona, 2007
Identifieur interne : 008655 ( Main/Exploration ); précédent : 008654; suivant : 008656The diagnosis and management of rectal cancer: expert discussion and recommendations derived from the 9th World Congress on Gastrointestinal Cancer, Barcelona, 2007
Auteurs : E. Van Cutsem [Belgique] ; M. Dicato [Luxembourg (pays)] ; K. Haustermans [Belgique] ; N. Arber [Israël] ; J.-F Bosset [France] ; D. Cunningham [Royaume-Uni] ; A. De Gramont [France] ; E. Diaz-Rubio [Espagne] ; M. Ducreux [France] ; R. Goldberg [États-Unis] ; R. Glynne-Jones [Royaume-Uni] ; D. Haller [États-Unis] ; Y.-K. Kang [Corée du Sud] ; D. Kerr [Royaume-Uni] ; R. Labianca [Italie] ; B. D. Minsky [États-Unis] ; M. Moore [Canada] ; B. Nordlinger [France] ; P. Rougier [France] ; W. Scheithauer [Autriche] ; H.-J. Schmoll [Allemagne] ; A. Sobrero [Italie] ; J. Tabernero [Espagne] ; M. Tempero [États-Unis] ; C. Van De Velde [Pays-Bas] ; J. Zalcberg [Australie]Source :
- Annals of Oncology [ 0923-7534 ] ; 2008.
Abstract
Knowledge of the biology and management of rectal cancer continues to improve. A multidisciplinary approach to a patient with rectal cancer by an experienced expert team is mandatory, to assure optimal diagnosis and staging, surgery, selection of the appropriate neo-adjuvant and adjuvant strategy and chemotherapeutic management. Moreover, optimal symptom management also requires a dedicated team of health care professionals. The introduction of total mesorectal excision has been associated with a decrease in the rate of local failure after surgery. High quality surgery and the achievement of pathological measures of quality are a prerequisite to adequate locoregional control. There are now randomized data in favour of chemoradiotherapy or short course radiotherapy in the preoperative setting. Preoperative chemoradiotherapy is more beneficial and has less toxicity for patients with resectable rectal cancer than postoperative chemoradiotherapy. Furthermore chemoradiotherapy leads also to downsizing of locally advanced rectal cancer. New strategies that decrease the likelihood of distant metastases after initial treatment need be developed with high priority. Those involved in the care for patients with rectal cancer should be encouraged to participate in well-designed clinical trials, to increase the evidence-based knowledge and to make further progress. Health care workers involved in the care of rectal cancer patients should be encouraged to adopt quality control processes leading to increased expertise.
Url:
DOI: 10.1093/annonc/mdn358
Affiliations:
- Allemagne, Australie, Autriche, Belgique, Canada, Corée du Sud, Espagne, France, Israël, Italie, Luxembourg (pays), Pays-Bas, Royaume-Uni, États-Unis
- Angleterre, Bourgogne-Franche-Comté, Californie, Caroline du Nord, Catalogne, Communauté de Madrid, Franche-Comté, Hollande-Méridionale, Illinois, Oxfordshire, Pennsylvanie, Région capitale de Séoul, Victoria (État), Vienne (Autriche), Île-de-France
- Barcelone, Besançon, Chapel Hill (Caroline du Nord), Leyde, Madrid, Melbourne, Oxford, Paris, Philadelphie, Séoul, Vienne (Autriche)
- Université d'Oxford, Université de Caroline du Nord à Chapel Hill
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Van Cutsem</name><affiliation wicri:level="1"><country xml:lang="fr">Belgique</country><wicri:regionArea>University Hospital Gasthuisberg, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Belgique</country></affiliation><affiliation><wicri:noCountry code="syntax">???</wicri:noCountry></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Belgique</country></affiliation></author><author><name sortKey="Dicato, M" sort="Dicato, M" uniqKey="Dicato M" first="M." last="Dicato">M. Dicato</name><affiliation wicri:level="1"><country xml:lang="fr">Luxembourg (pays)</country><wicri:regionArea>Luxembourg Medical Center</wicri:regionArea></affiliation></author><author><name sortKey="Haustermans, K" sort="Haustermans, K" uniqKey="Haustermans K" first="K." last="Haustermans">K. 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Arber</name><affiliation wicri:level="1"><country xml:lang="fr">Israël</country><wicri:regionArea>Tel Aviv Medical Center and Sackler School of Medicine, Tel Aviv University</wicri:regionArea><wicri:noRegion>Tel Aviv University</wicri:noRegion></affiliation></author><author><name sortKey="Bosset, J F" sort="Bosset, J F" uniqKey="Bosset J" first="J.-F" last="Bosset">J.-F Bosset</name><affiliation wicri:level="3"><country xml:lang="fr">France</country><wicri:regionArea>CHU Jean-Minjoz, Besançon</wicri:regionArea><placeName><region type="region">Bourgogne-Franche-Comté</region><region type="old region">Franche-Comté</region><settlement type="city">Besançon</settlement></placeName></affiliation></author><author><name sortKey="Cunningham, D" sort="Cunningham, D" uniqKey="Cunningham D" first="D." last="Cunningham">D. Cunningham</name><affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>The Royal Marsden Hospital, Surrey</wicri:regionArea><wicri:noRegion>Surrey</wicri:noRegion></affiliation></author><author><name sortKey="De Gramont, A" sort="De Gramont, A" uniqKey="De Gramont A" first="A." last="De Gramont">A. De Gramont</name><affiliation wicri:level="3"><country xml:lang="fr">France</country><wicri:regionArea>Hôpital Saint-Antoine, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Diaz Rubio, E" sort="Diaz Rubio, E" uniqKey="Diaz Rubio E" first="E." last="Diaz-Rubio">E. Diaz-Rubio</name><affiliation wicri:level="3"><country xml:lang="fr">Espagne</country><wicri:regionArea>San Carlos Hospital Clinioc, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Ducreux, M" sort="Ducreux, M" uniqKey="Ducreux M" first="M." last="Ducreux">M. Ducreux</name><affiliation wicri:level="1"><country xml:lang="fr">France</country><wicri:regionArea>Institut Gustave Roussy, Villejuif</wicri:regionArea><wicri:noRegion>Villejuif</wicri:noRegion><wicri:noRegion>Villejuif</wicri:noRegion></affiliation></author><author><name sortKey="Goldberg, R" sort="Goldberg, R" uniqKey="Goldberg R" first="R." last="Goldberg">R. Goldberg</name><affiliation wicri:level="4"><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of North Carolina at Chapel Hill, Chapel Hill, North Carolina</wicri:regionArea><placeName><region type="state">Caroline du Nord</region><settlement type="city">Chapel Hill (Caroline du Nord)</settlement></placeName><orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName></affiliation></author><author><name sortKey="Glynne Jones, R" sort="Glynne Jones, R" uniqKey="Glynne Jones R" first="R." last="Glynne-Jones">R. Glynne-Jones</name><affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Mount Vernon Cancer Centre, Northwood</wicri:regionArea><wicri:noRegion>Northwood</wicri:noRegion></affiliation></author><author><name sortKey="Haller, D" sort="Haller, D" uniqKey="Haller D" first="D." last="Haller">D. Haller</name><affiliation wicri:level="3"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Abramson Cancer Center at the University of Pennsylvania, Philadelphia</wicri:regionArea><placeName><settlement type="city">Philadelphie</settlement><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Kang, Y K" sort="Kang, Y K" uniqKey="Kang Y" first="Y.-K." last="Kang">Y.-K. Kang</name><affiliation wicri:level="3"><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Asan Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kerr, D" sort="Kerr, D" uniqKey="Kerr D" first="D." last="Kerr">D. Kerr</name><affiliation wicri:level="4"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>University of Oxford, Oxford</wicri:regionArea><placeName><settlement type="city">Oxford</settlement><region type="country">Angleterre</region><region type="comté" nuts="2">Oxfordshire</region><settlement type="city">Oxford</settlement></placeName><orgName type="university">Université d'Oxford</orgName></affiliation></author><author><name sortKey="Labianca, R" sort="Labianca, R" uniqKey="Labianca R" first="R." last="Labianca">R. Labianca</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Ospedale Riuniti, Bergamo</wicri:regionArea><wicri:noRegion>Bergamo</wicri:noRegion></affiliation></author><author><name sortKey="Minsky, B D" sort="Minsky, B D" uniqKey="Minsky B" first="B. D." last="Minsky">B. D. Minsky</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Chicago Medical Center, Chicago, IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation></author><author><name sortKey="Moore, M" sort="Moore, M" uniqKey="Moore M" first="M." last="Moore">M. Moore</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Princess Margaret Hospital, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Nordlinger, B" sort="Nordlinger, B" uniqKey="Nordlinger B" first="B." last="Nordlinger">B. Nordlinger</name><affiliation wicri:level="1"><country xml:lang="fr">France</country><wicri:regionArea>Hôpital Ambroise Paré, Boulogne</wicri:regionArea><wicri:noRegion>Boulogne</wicri:noRegion><wicri:noRegion>Boulogne</wicri:noRegion></affiliation></author><author><name sortKey="Rougier, P" sort="Rougier, P" uniqKey="Rougier P" first="P." last="Rougier">P. Rougier</name><affiliation wicri:level="1"><country xml:lang="fr">France</country><wicri:regionArea>Hôpital Ambroise Paré, Boulogne</wicri:regionArea><wicri:noRegion>Boulogne</wicri:noRegion><wicri:noRegion>Boulogne</wicri:noRegion></affiliation></author><author><name sortKey="Scheithauer, W" sort="Scheithauer, W" uniqKey="Scheithauer W" first="W." last="Scheithauer">W. Scheithauer</name><affiliation wicri:level="3"><country xml:lang="fr">Autriche</country><wicri:regionArea>Medical University Vienna, Vienna</wicri:regionArea><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Schmoll, H J" sort="Schmoll, H J" uniqKey="Schmoll H" first="H.-J." last="Schmoll">H.-J. Schmoll</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Martin Luther Universität, Halle</wicri:regionArea><wicri:noRegion>Halle</wicri:noRegion><wicri:noRegion>Halle</wicri:noRegion></affiliation></author><author><name sortKey="Sobrero, A" sort="Sobrero, A" uniqKey="Sobrero A" first="A." last="Sobrero">A. Sobrero</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Ospedale San Martino, Genoa</wicri:regionArea><wicri:noRegion>Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Tabernero, J" sort="Tabernero, J" uniqKey="Tabernero J" first="J." last="Tabernero">J. Tabernero</name><affiliation wicri:level="3"><country xml:lang="fr">Espagne</country><wicri:regionArea>Vall d'Hebron University Hospital, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Tempero, M" sort="Tempero, M" uniqKey="Tempero M" first="M." last="Tempero">M. Tempero</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of California, San Francisco, California</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Van De Velde, C" sort="Van De Velde, C" uniqKey="Van De Velde C" first="C." last="Van De Velde">C. Van De Velde</name><affiliation wicri:level="3"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Leiden University Medical Center, Leiden</wicri:regionArea><placeName><settlement type="city">Leyde</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Zalcberg, J" sort="Zalcberg, J" uniqKey="Zalcberg J" first="J." last="Zalcberg">J. Zalcberg</name><affiliation wicri:level="3"><country xml:lang="fr">Australie</country><wicri:regionArea>Peter MacCallum Cancer Centre and Department of Medicine, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Annals of Oncology</title><idno type="ISSN">0923-7534</idno><idno type="eISSN">1569-8041</idno><imprint><publisher>Oxford University Press</publisher><date type="published" when="2008">2008</date><biblScope unit="volume">19</biblScope><biblScope unit="supplement">suppl_6</biblScope><biblScope unit="page" from="1">vi1</biblScope><biblScope unit="page" to="8">vi8</biblScope></imprint><idno type="ISSN">0923-7534</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0923-7534</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">Knowledge of the biology and management of rectal cancer continues to improve. A multidisciplinary approach to a patient with rectal cancer by an experienced expert team is mandatory, to assure optimal diagnosis and staging, surgery, selection of the appropriate neo-adjuvant and adjuvant strategy and chemotherapeutic management. Moreover, optimal symptom management also requires a dedicated team of health care professionals. The introduction of total mesorectal excision has been associated with a decrease in the rate of local failure after surgery. High quality surgery and the achievement of pathological measures of quality are a prerequisite to adequate locoregional control. There are now randomized data in favour of chemoradiotherapy or short course radiotherapy in the preoperative setting. Preoperative chemoradiotherapy is more beneficial and has less toxicity for patients with resectable rectal cancer than postoperative chemoradiotherapy. Furthermore chemoradiotherapy leads also to downsizing of locally advanced rectal cancer. New strategies that decrease the likelihood of distant metastases after initial treatment need be developed with high priority. Those involved in the care for patients with rectal cancer should be encouraged to participate in well-designed clinical trials, to increase the evidence-based knowledge and to make further progress. Health care workers involved in the care of rectal cancer patients should be encouraged to adopt quality control processes leading to increased expertise.</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Australie</li><li>Autriche</li><li>Belgique</li><li>Canada</li><li>Corée du Sud</li><li>Espagne</li><li>France</li><li>Israël</li><li>Italie</li><li>Luxembourg (pays)</li><li>Pays-Bas</li><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Bourgogne-Franche-Comté</li><li>Californie</li><li>Caroline du Nord</li><li>Catalogne</li><li>Communauté de Madrid</li><li>Franche-Comté</li><li>Hollande-Méridionale</li><li>Illinois</li><li>Oxfordshire</li><li>Pennsylvanie</li><li>Région capitale de Séoul</li><li>Victoria (État)</li><li>Vienne (Autriche)</li><li>Île-de-France</li></region><settlement><li>Barcelone</li><li>Besançon</li><li>Chapel Hill (Caroline du Nord)</li><li>Leyde</li><li>Madrid</li><li>Melbourne</li><li>Oxford</li><li>Paris</li><li>Philadelphie</li><li>Séoul</li><li>Vienne (Autriche)</li></settlement><orgName><li>Université d'Oxford</li><li>Université de Caroline du Nord à Chapel Hill</li></orgName></list><tree><country name="Belgique"><noRegion><name sortKey="Van Cutsem, E" sort="Van Cutsem, E" uniqKey="Van Cutsem E" first="E." last="Van Cutsem">E. Van Cutsem</name></noRegion><name sortKey="Haustermans, K" sort="Haustermans, K" uniqKey="Haustermans K" first="K." last="Haustermans">K. Haustermans</name><name sortKey="Van Cutsem, E" sort="Van Cutsem, E" uniqKey="Van Cutsem E" first="E." last="Van Cutsem">E. Van Cutsem</name><name sortKey="Van Cutsem, E" sort="Van Cutsem, E" uniqKey="Van Cutsem E" first="E." last="Van Cutsem">E. Van Cutsem</name></country><country name="Luxembourg (pays)"><noRegion><name sortKey="Dicato, M" sort="Dicato, M" uniqKey="Dicato M" first="M." last="Dicato">M. Dicato</name></noRegion></country><country name="Israël"><noRegion><name sortKey="Arber, N" sort="Arber, N" uniqKey="Arber N" first="N." last="Arber">N. Arber</name></noRegion></country><country name="France"><region name="Bourgogne-Franche-Comté"><name sortKey="Bosset, J F" sort="Bosset, J F" uniqKey="Bosset J" first="J.-F" last="Bosset">J.-F Bosset</name></region><name sortKey="De Gramont, A" sort="De Gramont, A" uniqKey="De Gramont A" first="A." last="De Gramont">A. De Gramont</name><name sortKey="Ducreux, M" sort="Ducreux, M" uniqKey="Ducreux M" first="M." last="Ducreux">M. Ducreux</name><name sortKey="Nordlinger, B" sort="Nordlinger, B" uniqKey="Nordlinger B" first="B." last="Nordlinger">B. Nordlinger</name><name sortKey="Rougier, P" sort="Rougier, P" uniqKey="Rougier P" first="P." last="Rougier">P. Rougier</name></country><country name="Royaume-Uni"><noRegion><name sortKey="Cunningham, D" sort="Cunningham, D" uniqKey="Cunningham D" first="D." last="Cunningham">D. Cunningham</name></noRegion><name sortKey="Glynne Jones, R" sort="Glynne Jones, R" uniqKey="Glynne Jones R" first="R." last="Glynne-Jones">R. 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Schmoll</name></noRegion></country><country name="Pays-Bas"><region name="Hollande-Méridionale"><name sortKey="Van De Velde, C" sort="Van De Velde, C" uniqKey="Van De Velde C" first="C." last="Van De Velde">C. Van De Velde</name></region></country><country name="Australie"><region name="Victoria (État)"><name sortKey="Zalcberg, J" sort="Zalcberg, J" uniqKey="Zalcberg J" first="J." last="Zalcberg">J. Zalcberg</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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