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Complicated Colorectal Cancer: Role of Imaging

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Emergency Surgical Management of Colorectal Cancer

Part of the book series: Hot Topics in Acute Care Surgery and Trauma ((HTACST))

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Abstract

Colorectal cancer is the third most common cancer and the fourth most common cancer cause of death globally, accounting for roughly 1.2 million new cases and 600,000 deaths per year [1]. Incidence is low at ages younger than 50 years, but strongly increases with age. Median age at diagnosis is about 70 years in developed countries [2]. Colorectal cancer develops mostly without any symptoms in the early stages. In 15–30% of cases, however, CRC patients present with symptoms of acute abdomen such as bowel perforation, obstruction, or gastrointestinal bleeding [3]. Those complications mostly occur in elderly patients and are associated with poor prognosis [4]. These poor outcomes start at their initial hospital admission and also impacts long-term survival [3]. Elderly patients with CRC may be specifically at risk for emergent presentation because of medical comorbid conditions, insufficient screening, unrecognized symptoms, and inadequate overall access to the health-care system [4]. Imaging hence plays a key role in this setting. Its first objective is to provide the earliest diagnosis of any complication. Its second objective is increasingly dealing with interventional therapy of some complications associated with colorectal cancer treatment. This chapter will go through the role of imaging in the four major complications occurring in colorectal cancer setting, with a special focus on the pre-therapeutic imaging strategy in complicated or advanced CRC.

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Author information

Authors and Affiliations

  1. Service d’Imagerie Médicale, Assistance Publique Hôpitaux de Paris, Hôpitaux Universitaires Henri Mondor, Créteil Cedex, France

    Athena Galletto, Laurence Baranes, Sebastien Mulé, Edouard Herin, Melanie Chiaradia, Marjane Djabbari, Rym Kharrat, Benhalima Zegai, Frederic Pigneur & Alain Luciani

  2. Faculté de Médecine de Créteil, UPEC, Créteil, France

    Sebastien Mulé, Edouard Herin & Alain Luciani

  3. INSERM IMRB U955 Equipe 18, Créteil, France

    Sebastien Mulé & Alain Luciani

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  1. Athena Galletto
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Correspondence to Alain Luciani .

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Editors and Affiliations

  1. Department of General Surgery Unit of Digestive, Minimally Invasive and Robotic Surgery, Henri Mondor Hospital, Créteil, France

    Nicola de'Angelis

  2. Cambridge Colorectal Unit, Cambridge Biomedical Campus, Cambridge University Hospitals NHS Foundation Trust, Addenbrooke’s Hospital, Cambridge, UK

    Salomone Di Saverio

  3. Department of General Surgery Unit of Digestive, Minimally Invasive and Robotic Surgery, Henri Mondor Hospital, Créteil, France

    Francesco Brunetti

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Galletto, A. et al. (2019). Complicated Colorectal Cancer: Role of Imaging. In: de'Angelis, N., Di Saverio, S., Brunetti, F. (eds) Emergency Surgical Management of Colorectal Cancer. Hot Topics in Acute Care Surgery and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-030-06225-5_5

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  • DOI: https://doi.org/10.1007/978-3-030-06225-5_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-06224-8

  • Online ISBN: 978-3-030-06225-5

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