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  1. Dokkyo Medical Journal
  2. 4(3) 2025

A New Approach for Measuring Circumferential Resection Margin (CRM) in Resected Specimen of Locally Advanced Rectal Cancer

https://dmu.repo.nii.ac.jp/records/2000702
https://dmu.repo.nii.ac.jp/records/2000702
dcf63b07-9671-430f-926f-70330e9f79a8
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DKMJ-4-3-2.pdf DKMJ-4-3-2.pdf (739 KB)
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Item type 学術雑誌論文 / Journal Article(1)
タイトル
タイトル A New Approach for Measuring Circumferential Resection Margin (CRM) in Resected Specimen of Locally Advanced Rectal Cancer
言語 en
言語
言語 eng
キーワード
言語 en
主題Scheme Other
主題 locally advanced rectal cancer
キーワード
言語 en
主題Scheme Other
主題 circumferential resection margin (CRM)
キーワード
言語 en
主題Scheme Other
主題 circumferential resection method
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
著者 Nakamura, Takatoshi

× Nakamura, Takatoshi

en Nakamura, Takatoshi

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Ishida, Kazuyuki

× Ishida, Kazuyuki

en Ishida, Kazuyuki

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Hachiya, Hiroyuki

× Hachiya, Hiroyuki

en Hachiya, Hiroyuki

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Shibuya, Norisuke

× Shibuya, Norisuke

en Shibuya, Norisuke

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Ihara, Keisuke

× Ihara, Keisuke

en Ihara, Keisuke

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Nishi, Yusuke

× Nishi, Yusuke

en Nishi, Yusuke

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Kono, Takahiro

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en Kono, Takahiro

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Ishizuka, Mitsuru

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Mizushima, Tsunekazu

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en Mizushima, Tsunekazu

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書誌情報 en : Dokkyo Medical Journal

巻 4, 号 3, p. 189-196, 発行日 2025-06-25
記事種別
値 Original
内容記述
内容記述タイプ Abstract
内容記述 Evaluation of the circumferential resection margin (CRM) of locally advanced rectal cancer is an important prognostic factor for predicting local recurrence rate and distant metastasis and is currently the standard practice mainly in Western countries. In Japan, however, CRM assessment is not commonly performed and thus has not been sufficiently studied. Therefore, we aimed to evaluate CRM using a histopathological specimen processing method developed independently by our department. Ten patients with locally advanced rectal cancer who underwent surgery between January 2022 and March 2024 were included in the study. Although preoperative treatment was given to all the 10 patients, CRM was measurable in all cases using this method. As a result, one patient was found to be CRM-positive. The average number of lymph nodes dissected was 14, and the average distal margin (DM) was 20 mm, which was comparable to those of the current pathological specimen processing method. It is imperative to establish the global standard CRM assessment method in Japan. This also should be done in a way that aligns with the current guidelines for specimen processing methods outlined in the Japanese Classification of Colorectal, Appendiceal, and Anal Carcinoma (JCCRC). Our method was able to minimize the burden on pathologists and lower gastrointestinal surgeons as much as possible while enabling more accurate CRM measurement. In the future, it will be necessary to accumulate more cases, identify potential problems, and prospectively evaluate the effectiveness of this method in a multicenter collaborative study.
言語 en
出版者
出版者 Dokkyo Medical Society
ISSN
収録物識別子タイプ EISSN
収録物識別子 2436-522X
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA12941861
DOI
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.51040/dkmj.2024-040
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
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