臨床外科66巻10号

2011年10月発行

特集 進歩する癌転移診断―外科臨床はどう変わるのか 〔原発巣別〕

大腸癌

著者： 鯉沼広治¹ 堀江久永¹ 熊野秀俊¹ 宮倉安幸¹ 安田是和¹

所属機関： ¹自治医科大学消化器外科

ページ範囲：P.1328 - P.1334

【ポイント】

◆微小肝転移診断は，SPIOあるいはEOB造影MRI検査が有用である．

◆ソナゾイド^®造影を用いた術中超音波検査は微小転移診断や肝切除範囲決定において有用性が高い．

◆直腸癌所属リンパ節転移診断は，各モダリティの技術進歩により向上しているが十分ではなく，ある程度の安全域を見越した治療法選択が必要である．

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