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Inoperable rectal tumour, no metastases: A   radio-chemotherapy with a favourable response surgery B   radio-chemotherapy with a non-favourable response chemotherapy Operable rectal tumour, with metastases: radical surgery of the tumour with resection of the hepatic or lung metastasis radio-chemotherapy radio-chemotherapy followed by surgical treatment. Non-operable rectal tumour with metastases: chemotherapy and radiotherapy.

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Probleme actuale privind aplicarea protocolului de tratament în cancerul de rect Inoperable rectal tumour, no metastases: A   radio-chemotherapy with a favourable response surgery B   radio-chemotherapy with a non-favourable response chemotherapy Operable rectal tumour, with rectal cancer nccn guideline radical surgery of the tumour with resection of the hepatic or lung metastasis radio-chemotherapy radio-chemotherapy followed by surgical treatment. Non-operable rectal tumour with metastases: chemotherapy and radiotherapy. We must remember that the rectum is a fix organ, that represents an advantage for the irradiation process.

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Ocazional, intenia curativ poate fi deliberat compromis, fie datorit comorbiditilor asociate, prea severe pentru a permite o rezecie standard n deplin siguran, fie datorit refuzului pacientului rectal cancer nccn guidelines a accepta protocolul standard cu intenie rectal cancer nccn guidelines. Chirurgului i revine rolul critic de a rectal cancer nccn guideline, printr-o judecat matur, abordarea optimal, i el devine, astfel, determinantul rectal cancer nccn rectal cancer nccn guideline al rezultatului pentru pacientul cu cancer de rect. Ca membru al echipei multidisciplinare, dup evaluarea datelor preliminare, chirurgul cu experien poate identifica potenialele colorectal cancer recurrence rates tehnice i estima, n limite rezonabile, necesitatea efecturii unei anastomoze primare, cu sau fr diversie fecal proximal temporar, comparativ cu o colostomie permanent. Informaiile obinute pot alerta chirurgul asupra necesitii de a modifica tehnicile standard pentru a rspunde mai bine particularitilor cancerului rectal; de exemplu, tipul histologic cu celule n inel cu pecete va impune coborrea limitei de excizie distal, iar patologia colonic sincron poate impune o colectomie extins.

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Probleme actuale privind aplicarea protocolului de tratament în cancerul de rect Probleme actuale privind aplicarea protocolului de tratament în cancerul de rect 3-multimodal-treatment-of-rectal-cancer-choosing-a-therapy-protocol. Ocazional, intenia curativ rectal cancer nccn guidelines fi deliberat compromis, fie datorit comorbiditilor asociate, prea severe pentru a permite o rezecie standard n deplin siguran, fie datorit refuzului pacientului de rectal cancer nccn guideline accepta protocolul standard cu intenie curativ. Chirurgia rmne principala modalitate de tratament n cancerul rectal, dei asistm la o extindere a rolul radioterapiei, chimioterapiei i a noilor ageni biologici I.

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