Poster électronique

Apport de l’IRM après traitement néoadjuvant des cancers du rectum localement avancés
S. Long, E. Koning, JJ. Tuech, JN. Dacher, C. Savoye-Collet - Rouen - France
Congrès 2011
Résumé
Objectifs pédagogiques
Connaître la place de l’IRM dans la prise en charge du cancer du rectum localement avancé (CRLA).
Connaître les protocoles d’exploration d’IRM rectale après radiochimiothérapie.
Connaître les critères d’évaluation de la réponse tumorale et les limites de l’IRM après radiochimiothérapie.
Messages à retenir
Les CRLA bénéficient de thérapie néo-adjuvante dans le but d’améliorer la résécabilité et d’obtenir un meilleur contrôle local.
L’évaluation de la réponse tumorale par IRM est difficile, notamment la différenciation des remaniements post-thérapeutiques par rapport aux reliquats tumoraux actifs.
Un protocole adapté comprenant des séquences de diffusion est nécessaire afin de permettre un restaging lésionnel. Certains critères IRM sont importants en vue de la chirurgie complémentaire : marges par rapport au fascia mésorectal et distance au sphincter interne.
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2017-04-11 08.29 :
Lisa Calabrese

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