オオキ　タケシ   OHKI Takeshi   大木　岳志    所属   医学部 医学科（東京女子医科大学病院）    職種   准教授
論文種別	原著
言語種別	英語
査読の有無	査読なし
表題	Lateral pelvic lymph nodes for rectal cancer: A review of diagnosis and management.
掲載誌名	正式名：World journal of gastrointestinal oncology 略　 称：World J Gastrointest Oncol ISSNコード：19485204
掲載区分	国外
巻・号・頁	13(10),pp.1412-1424
著者・共著者	OGAWA Shimpei†, ITABASHI Michio, INOUE Yuji, OHKI Takeshi, BAMBA Yoshiko, KOSHINO Kurodo, NAKAGAWA Ryosuke, TANI Kimitaka, AIHARA Hisako, KONDO Hiroka, YAMAGUCHI SHIGEKI, YAMAMOTO Masakazu]
発行年月	2021/10
概要	The current status and future prospects for diagnosis and treatment of lateral pelvic lymph node (LPLN) metastasis of rectal cancer are described in this review. Magnetic resonance imaging (MRI) is recommended for the diagnosis of LPLN metastasis. A LPLN-positive status on MRI is a strong risk factor for metastasis, and evaluation by MRI is important for deciding treatment strategy. LPLN dissection (LPLD) has an advantage of reducing recurrence in the lateral pelvis but also has a disadvantage of complications; therefore, LPLD may not be appropriate for cases that are less likely to have LPLN metastasis. Radiation therapy (RT) and chemoradiation therapy (CRT) have limited effects in cases with suspected LPLN metastasis, but a combination of preoperative CRT and LPLD may improve the treatment outcome. Thus, RT and CRT plus selective LPLD may be a rational strategy to omit unnecessary LPLD and produce a favorable treatment outcome.
DOI	10.4251/wjgo.v13.i10.1412
PMID	34721774