[Chinese expert consensus on the diagnosis and treatment for lateral lymph node metastasis of rectal cancer (2024 edition)].

Q3 Medicine 中华胃肠外科杂志 Pub Date : 2024-01-25 DOI:10.3760/cma.j.cn441530-20231212-00211

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Abstract

Lateral lymph node metastasis (LLNM) is common in mid-low rectal cancer and is also a major cause of postoperative local recurrence. Currently, there is still controversy regarding the diagnosis and treatment of LLNM in rectal cancer. This consensus, based on the "Chinese Consensus on Diagnosis and Treatment of Lateral Lymph Node Metastasis in Rectal Cancer (2019 edition)," incorporates the latest domestic and international research findings and revises aspects related to the diagnosis, treatment strategies, follow-up, and management of recurrence of LLNM in rectal cancer. A total of 42 domestic colorectal cancer experts participated in this consensus. It proposes 18 consensus statements on the diagnosis and treatment of LLNM, using the evaluation criteria of the U.S. Preventive Services Task Force for grading recommendations. The aim is to standardize further the diagnostic criteria and treatment strategies for LLNM in rectal cancer. Unresolved issues in this consensus require further clinical practice and active engagement in high-quality clinical research to explore and address them progressively.

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[中国直肠癌侧淋巴结转移诊治专家共识（2024 年版）]。

侧淋巴结转移（LLNM）是中低位直肠癌的常见病，也是术后局部复发的主要原因。目前，关于直肠癌侧淋巴结转移的诊断和治疗仍存在争议。本共识以《直肠癌侧淋巴结转移诊治中国共识（2019年版）》为基础，结合国内外最新研究成果，对直肠癌LLNM的诊断、治疗策略、随访、复发处理等相关方面进行了修订。共有 42 位国内结直肠癌专家参与了此次共识。该共识采用美国预防服务工作组的评估标准，对 LLNM 的诊断和治疗提出了 18 条分级建议。目的是进一步规范直肠癌 LLNM 的诊断标准和治疗策略。该共识中尚未解决的问题需要进一步的临床实践和积极开展高质量的临床研究来逐步探索和解决。

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