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Viszeralchirurgie 2006; 41(1): 1-5
DOI: 10.1055/s-2006-921340
Aktuelle Chirurgie

© Georg Thieme Verlag Stuttgart · New York

Welche Standards braucht die Lymphknoten-Histologie beim kolorektalen Karzinom?

Which Standards are Necessary for the Histological Evaluation of Lymph Nodes in Colorectal Cancer?K. W. Schmid1 , 3 , D. Öfner2
  • 1Institut für Pathologie und Neuropathologie, Universitätsklinikum Essen
  • 2Klinische Abteilung für Viszeral- und Transplantationschirurgie, Medizinische Universität Innsbruck, Österreich
  • 3Mitglied des Westdeutschen Tumorzentrums Essen (WTZE)
Further Information

Publication History

Publication Date:
03 February 2006 (online)

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Zusammenfassung

Das therapeutische Management des kolorektalen Karzinoms hängt entscheidend vom histologisch evaluierten Lymphknotenstatus ab. Erkenntnisse neuerer Studien weisen darauf hin, dass anstelle einer geforderten Minimalanzahl von zwölf Lymphknoten, die Präparation und histologische Untersuchung aller Lymphknoten eines Operationspräparates anzustreben ist. Dabei ist auch zu beachten, dass, trotz sachgemäßer Aufarbeitung durch den Pathologen, auch Fälle (insbesondere beim Rektumkarzinom) mit deutlich weniger als zwölf Lymphknoten vorkommen können.

Abstract

The detection of lymph node metastases is of vital importance for the therapeutical decision-making in patients with colorectal carcinoma. Due to the results of several recently published studies it seems to be most desirable to identify all lymph nodes rather than follow the recommendation to investigate a minimum number of twelve lymph nodes. However, it has to be noted that, despite a scrupulously exact lymph node recovery by the pathologist, in some cases (particularly in rectal carcinoma) substantially less than twelve lymph nodes may be yielded.

Schlüsselwörter

kolorektales Karzinom - Lymphknoten - Lymphknotenausbeute - Minimalanzahl - Sentinel-Lymphknoten

Key words

colorectal carcinoma - lymph node - lymph node recovery - minimum number - sentinel lymph node

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Univ.-Prof. Dr. K. W. Schmid

Institut für Pathologie und Neuropathologie · Universitätsklinikum Essen

Hufelandstraße 55

45122 Essen

Germany

Phone: +49/2 01/7 23 28 90

Fax: +49/2 01/7 23 59 26

Email: kw.schmid.pathologie@uni-essen.de