Skip to main content
SpringerLink
Log in

Récidives pelviennes de cancers du rectum à composante extraluminale

Évaluation des rapports pelviens par l’imagerie préopératoire, impact sur l’étendue de l’exentération pelvienne et concordance radiohistologique

Extra luminal pelvic recurrence from rectal cancer

Prediction of tumor invasion into pelvic structures with preoperative imaging, preoperative roadmap, and agreement between imaging and histopathologic findings

  • Mise au Point / Update
  • Published:
Oncologie

Résumé

Les exentérations pelviennes pour récidives extraluminales de cancers du rectum peuvent bénéficier d’une chirurgie curative mais au prix d’une forte morbidité et d’une qualité de vie altérée. La sélection des patients est le facteur essentiel de « curabilité ». L’IRM pelvienne est l’examen de référence pour porter le diagnostic, déterminer l’extension locorégionale et prédire l’importance du geste d’exérèse. Elle assure une bonne concordance radiohistologique excepté pour l’envahissement latéropelvien qui peut être difficile à distinguer de remaniements fibreux séquellaires de chirurgie ou de radiothérapie, entraînant des exérèses mutilantes par excès.

Abstract

Pelvic exenterations for extraluminal pelvic recurrences from rectal cancer afford a high R0 resection rate but the cost to patients in terms of morbidity and quality of life can be high. Therefore careful selection of patients is needed to achieve more curative resections and increase long-term survival rates. Magnetic resonance (MR) imaging may be useful to provide a preoperative roadmap and to distinguish cancer from fibrosis or radiation changes. In some cases of pelvic sidewall involvement, MR is unable to distinguish tumour extension from radiation changes or fibrosis and patients undergo inappropriate extensive surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Références

  1. Heald RJ, Ryall RD (1986) Recurrence and survival after total mesorectal excision for rectal cancer. Lancet 1: 1479–82

    Article  CAS  PubMed  Google Scholar 

  2. Symmonds RE, Pratt JH, Welch JS (1968) Exenterative operations. Experience with 118 patients. Am J Obstet Gynecol 101: 66–77

    CAS  PubMed  Google Scholar 

  3. Van Lingen CP, Zeebregts CJ, Gerritsen JJGM, et al. (2003) Local recurrence of rectal cancer after total mesorectal excision without preoperative radiotherapy. Int J Gastrointest Cancer 34: 129–34

    Article  PubMed  Google Scholar 

  4. Reerink O, Mulder NH, Botke G, et al. (2004) Treatment of locally recurrent rectal cancer, results and prognostic factors. Eur J Surg Oncol 30: 954–8

    Article  CAS  PubMed  Google Scholar 

  5. Wanebo HJ, Antoniuk P, Koness RJ, et al. (1999) Pelvic resection of recurrent rectal cancer: technical considerations and outcomes. Dis Colon Rectum 42: 1438–48

    Article  CAS  PubMed  Google Scholar 

  6. Ferenschild FTJ, Vermaas M, Verhoef C, et al. (2009) Abdominosacral resection for locally advanced and recurrent rectal cancer. Br J Surg 96: 1341–7

    Article  CAS  PubMed  Google Scholar 

  7. Guillem JG, Díaz-González JA, Minsky BD, et al. (2008) cT3N0 rectal cancer: potential overtreatment with preoperative chemoradiotherapy is warranted. J Clin Oncol 26: 368–73

    Article  PubMed  Google Scholar 

  8. Glynne-Jones R, Northover J, Oliveira J (2009) Anal cancer: ESMO clinical recommendations for diagnosis, treatment and follow-up. Ann Oncol 20: 57–60

    Article  PubMed  Google Scholar 

  9. Desch CE, Benson AB, Somerfield MR, et al. (2005) Colorectal cancer surveillance: 2005 update of an American Society of Clinical Oncology practice guideline. J Clin Oncol 23: 8512–9

    Article  PubMed  Google Scholar 

  10. Tepper JE, Wood WC, Cohen AM (1989) Treatment of locally advanced rectal cancer with external beam radiation, surgical resection, and intraoperative radiation therapy. Int J Radiat Oncol Biol Phys 16: 1437–44

    Article  CAS  PubMed  Google Scholar 

  11. Abir F, Alva S, Longo WE, et al (2006) The postoperative surveillance of patients with colon cancer and rectal cancer. Am J Surg 192: 100–8

    Article  PubMed  Google Scholar 

  12. Carl J, Bentzen SM, Nørgaard-Pedersen B, et al. (1993) Modelling of serial carcinoembryonic antigen changes in colorectal cancer. Scand J Clin Lab Invest 53: 751–5

    Article  CAS  PubMed  Google Scholar 

  13. Saito N, Koda K, Takiguchi N, et al. (1998) Surgery for local pelvic recurrence after resection of rectal cancer. Int J Colorectal Dis 13: 32–8

    Article  CAS  PubMed  Google Scholar 

  14. Moriya Y, Akasu T, Fujita S, et al. (2004) Total pelvic exenteration with distal sacrectomy for fixed recurrent rectal cancer in the pelvis. Dis Colon Rectum 47: 2047–53; discussion 2053–4

    Article  PubMed  Google Scholar 

  15. Compton CC (2002) Pathologic prognostic factors in the recurrence of rectal cancer. Clin Colorectal Cancer 2: 149–60

    Article  PubMed  Google Scholar 

  16. Moore HG, Shoup M, Riedel E, et al. (2004) Colorectal cancer pelvic recurrences: determinants of resectability. Dis Colon Rectum 47: 1599–606

    Article  PubMed  Google Scholar 

  17. Boyle KM, Sagar PM, Chalmers AG, et al. (2005) Surgery for locally recurrent rectal cancer. Dis Colon Rectum 48: 929–37

    Article  PubMed  Google Scholar 

  18. Weiser MR, Landmann RG, Wong WD, et al. (2005) Surgical salvage of recurrent rectal cancer after transanal excision. Dis Colon Rectum 48: 1169–75

    Article  PubMed  Google Scholar 

  19. Hahnloser D, Nelson H, Gunderson LL, et al. (2003) Curative potential of multimodality therapy for locally recurrent rectal cancer. Ann Surg 237: 502–8

    PubMed Central  PubMed  Google Scholar 

  20. Schrag D, Cramer LD, Bach PB, et al. (2000) Influence of hospital procedure volume on outcomes following surgery for colon cancer. JAMA 284: 3028–35

    Article  CAS  PubMed  Google Scholar 

  21. Nascimbeni R, Nivatvongs S, Larson DR, et al. (2004) Long-term survival after local excision for T1 carcinoma of the rectum. Dis Colon Rectum 47: 1773–9

    Article  PubMed  Google Scholar 

  22. Messiou C, Chalmers AG, Boyle K, et al. (2008) Pre-operative MR assessment of recurrent rectal cancer. Br J Radiol 81: 468–73

    Article  CAS  PubMed  Google Scholar 

  23. Dresen RC, Kusters M, Daniels-Gooszen AW, et al. (2010) Absence of tumor invasion into pelvic structures in locally recurrent rectal cancer: prediction with preoperative MR imaging. Radiology 256: 143–50

    Article  PubMed  Google Scholar 

  24. Dicle O, Obuz F, Cakmakci H (1999) Differentiation of recurrent rectal cancer and scarring with dynamic MR imaging. Br J Radiol 72: 1155–9

    Article  CAS  PubMed  Google Scholar 

  25. Nishie A, Stolpen AH, Obuchi M, et al. (2008) Evaluation of locally recurrent pelvic malignancy: performance of T2- and diffusion-weighted MRI with image fusion. J Magn Reson Imaging 28: 705–13

    Article  PubMed  Google Scholar 

  26. Nagtegaal ID, Quirke P (2008) What is the role for the circumferential margin in the modern treatment of rectal cancer? J Clin Oncol 26: 303–12

    Article  PubMed  Google Scholar 

  27. Lambregts DMJ, Cappendijk VC, Maas M, et al (2011) Value of MRI and diffusion-weighted MRI for the diagnosis of locally recurrent rectal cancer. Eur Radiol 21: 1250–8

    Article  PubMed Central  PubMed  Google Scholar 

  28. Torricelli P, Pecchi A, Luppi G, et al. (2003) Gadolinium-enhanced MRI with dynamic evaluation in diagnosing the local recurrence of rectal cancer. Abdom Imaging 28: 19–27

    Article  CAS  PubMed  Google Scholar 

  29. Staib L, Schirrmeister H, Reske SN, et al. (2000) Is (18)Ffluorodeoxyglucose positron emission tomography in recurrent colorectal cancer a contribution to surgical decision making? Am J Surg 180: 1–5

    Article  CAS  PubMed  Google Scholar 

  30. Arulampalam TH, Costa DC, Loizidou M, et al. (2001) Positron emission tomography and colorectal cancer. Br J Surg 88: 176–89

    Article  CAS  PubMed  Google Scholar 

  31. Fiocchi F, Iotti V, Ligabue G, et al. (2010) Contrast-enhanced MRI and PET-CT in the evaluation of patients with suspected local recurrence of rectal carcinoma. Radiol Med 115: 906–19

    Article  CAS  PubMed  Google Scholar 

  32. Wanebo HJ, Koness RJ, Vezeridis MP, et al. (1994) Pelvic resection of recurrent rectal cancer. Ann Surg 220: 586–95; discussion 595–7

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  33. Yamada K, Ishizawa T, Niwa K, et al. (2001) Patterns of pelvic invasion are prognostic in the treatment of locally recurrent rectal cancer. Br J Surg 88: 988–93

    Article  CAS  PubMed  Google Scholar 

  34. Höcht S, Mann B, Germer C-T, et al. (2004) Pelvic sidewall involvement in recurrent rectal cancer. Int J Colorectal Dis 19: 108–13

    Article  PubMed  Google Scholar 

  35. Lev-Chelouche D, Keidar A, Rub R, et al. (2001) Hydronephrosis associated with colorectal carcinoma: treatment and outcome. Eur J Surg Oncol 27: 482–6

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Service de chirurgie digestive, centre hospitalier universitaire Purpan, 1, place Baylac, F-31000, Toulouse, France

    P. Pereira, L. Ghouti, M. Humeau, N. Carrere & G. Portier

  2. Service de biostatistiques, centre Anticancer Claudius-Regaud, 20–24, rue du Pont-Saint-Pierre, F-31052, Toulouse, France

    T. Filleron & J. Selves

  3. Service d’anatomopathologie, centre hospitalier universitaire Purpan, 1, place Baylac, F-31000, Toulouse, France

    R. Guimbaud

  4. Service d’oncologie digestive, centre hospitalier universitaire Purpan, 1, place Baylac, F-31000, Toulouse, France

    P. Pereira, L. Ghouti, M. Humeau, T. Filleron, J. Selves, R. Guimbaud, N. Carrere & G. Portier

Authors
  1. P. Pereira
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. L. Ghouti
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. Humeau
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. T. Filleron
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. J. Selves
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. R. Guimbaud
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. N. Carrere
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. G. Portier
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to P. Pereira.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Pereira, P., Ghouti, L., Humeau, M. et al. Récidives pelviennes de cancers du rectum à composante extraluminale. Oncologie 17, 309–314 (2015). https://doi.org/10.1007/s10269-015-2533-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10269-015-2533-4

Mots clés

Keywords

Search

Navigation