International journal of colorectal disease
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Int J Colorectal Dis · Oct 2020
The prognostic importance of MRI detected extramural vascular invasion (mrEMVI) in locally advanced rectal cancer.
MRI detected extramural vascular invasion (mrEMVI) is a poor prognostic factor in rectal cancer patients. The objectives of this study were to assess survival outcomes in patients with and without mrEMVI and to compare the prognostic value of mrEMVI with other rectal cancer features. ⋯ Positive mrEMVI is a poor prognostic factor in locally advanced rectal cancer with a 4-fold increased risk of developing metachronous metastases after surgery and a worsened overall survival. mrEMVI also appeared an independent risk factor, with a stronger prediction for metachronous metastases than other MRI-detectable tumor characteristics. mrEMVI should be incorporated in all risk stratification guidelines for rectal cancer.
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Int J Colorectal Dis · Oct 2020
The impact of COVID-19 pandemic in the colorectal cancer prevention.
The coronavirus disease 2019 (COVID-19) has led to a policy of severe restrictions in almost all countries strongly involved by the pandemic. National Health System is among activities suffering from the COVID-19 and the lockdown. ⋯ The economic impact will be dramatic, but COVID-19 is the demonstration that healthcare has to be the primary goal of humans.