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Articole de sintez Jurnalul de Chirurgie, Iai,Vol. Ocazional, intenia curativ poate fi deliberat compromis, fie datorit comorbiditilor asociate, prea severe pentru a permite o rezecie standard n deplin siguran, fie datorit refuzului pacientului de a accepta protocolul rectal cancer histological types cu intenie curativ. Chirurgia rmne principala modalitate de tratament n cancerul rectal, dei asistm la o extindere a rolul radioterapiei, chimioterapiei i a noilor ageni biologici I. Chirurgului i revine rolul critic de a alege, printr-o judecat matur, abordarea optimal, i el devine, astfel, determinantul primar al rezultatului pentru pacientul cu cancer de rect.

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Inoperable rectal tumour, no metastases: A   radio-chemotherapy with a favourable response surgery B   radio-chemotherapy with a non-favourable response rectal cancer histological types Operable rectal tumour, with metastases: radical surgery of the tumour with resection of the hepatic or lung metastasis radio-chemotherapy radio-chemotherapy followed by surgical treatment. Non-operable rectal tumour with metastases: chemotherapy and radiotherapy. We must remember that the rectum is a fix organ, that represents an advantage for the irradiation process.

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Results in different studies are often contradictory and the usefulness of single tumour markers in different cancer types is unclear. An increasing number of studies on genetic "fingerprints" are being reported. This book represents the most comprehensive and up-to-date publication on histological and serological tumour markers, also commenting recent genetic studies. Sixteen major cancer types and an additional chapter on HIV-related cancers are reviewed by more than 40 authors.

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Prediction of prognosis in colorectal cancer is vital for the choice of an optimal therapeutic plan and, in particular, for identifying patients at rectal cancer histological types risk who have indication of adjuvant therapy. The prognostic factors with most influence on colorectal cancer are the histopathological ones. First among them is the tumoral stage, but also the degree of differentiation and histological type and subtype, all well known factors.

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Серанис слушала с таким пониманием, что он принимал его как должное; лишь позднее он сообразил, что его словам, помимо нее, внимало множество других Когда он закончил, на некоторое время воцарилось молчание. Потом Серанис посмотрела на него и спокойно произнесла: - Зачем ты пришел в Лис. Элвин бросил на нее удивленный взгляд. - Я же сказал .

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Мы видим его глазами, куда бы он ни направился. Он наблюдает за механизмами, которые поддерживают существование этого озера, содержат его воду в чистоте. И все же будет правильнее называть его нашим партнером, а не слугой.