A practical review of watch-and-wait approach in rectal cancer

• 영문명: A practical review of watch-and-wait approach in rectal cancer
• 발행기관: 대한방사선종양학회
• 저자명: Hwa Kyung Byun Woong Sub Koom
• 간행물 정보: 『대한방사선종양학회지』제41권 제1호, 4~11쪽, 전체 8쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2023.03.30

영문 초록

Rectal resection surgery after neoadjuvant treatment has been the mainstay treatment of locally advanced rectal cancer. However, functional outcomes and quality of life after radical resection of the rectum remain suboptimal. The excellent oncologic outcomes in patients who achieved pathologic complete response after neoadjuvant treatment questioned the need for radical surgery. The watch-and-wait approach is a noninvasive therapeutic alternative for organ preservation and avoiding operative morbidity. In the watch-and-wait approach, patients with locally advanced rectal cancer who achieve excellent clinical response after neoadjuvant treatment undergo active surveillance rather than rectal cancer surgery. In this practical review, we summarized the main results of studies on the watch-and-wait approach and provided a practical method for implementing the watch-and-wait approach.

목차

Introduction

Landmark Studies on the WW Approach

How to Perform the Neoadjuvant Treatment?

How to Assess Tumor Response after Neoadjuvant Treatment?

How to Follow Up in the WW Approach?

Conclusion

Statement of Ethics

Conflict of Interest

Funding

Author Contributions

Data Availability Statement

References

키워드

Rectal neoplasms Watch and wait Non-operative management