Radiation Oncology, Chulolongkorn University : Spread of Colorectal Cancer

Radiation Oncology Chulolongkorn University

Spread of Colorectal Cancer

ÁÐàÃç§ÅÓäÊéãËè¨Ðà¡Ô´¢Öé¹·Õè¼ÔÇàÂ×èÍºØ¼¹Ñ§ÅÓäÊéãËè¡èÍ¹ â´ÂÁÑ¡¨ÐÁÕ¡ÒÃà»ÅÕèÂ¹á»Å§ÁÒ¨Ò¡ÃÍÂâÃ¤¡èÍ¹ÁÐàÃç§ (Premalignant Lesion) ·ÕèàÃÕÂ¡ÇèÒ Polyp áÅéÇ¨Ö§à»ÅÕèÂ¹à»ç¹¡éÍ¹ÁÐàÃç§ã¹·ÕèÊØ´ ¡ÒÃá¾Ãè¡ÃÐ¨ÒÂ¢Í§ÁÐàÃç§ÅÓäÊéãËèä»ÊÙèÊèÇ¹µèÒ§ æ ¢Í§ÃèÒ§¡ÒÂà¡Ô´¢Öé¹ä´é 4 ÇÔ¸Õ7,8 ´Ñ§µèÍä»¹Õé
1. Local Invasion
2. Lymphatic Spread
3. Venous Spread
4. Implantation

1. Local Invasion
ÁÐàÃç§ÅÓäÊéãËè¨Ðà¨ÃÔàµÔºâµÀÒÂã¹¼¹Ñ§ÅÓäÊéãËè ·ÓãËéà¡Ô´¡ÒÃÍØ´µÑ¹¢Í§ÅÓäÊéä´é
ËÃ×ÍÍÒ¨ÅØ¡ÅÒÁ·ÐÅØ¼¹Ñ§ÅÓäÊéãËèä»ÂÑ§à¹×éÍàÂ×èÍáÅÐÍÇÑÂÇÐ¢éÒ§à¤ÕÂ§ÀÒÂã¹ªèÍ§·éÍ§à¡Ô´ÀÒÇÐ Peritoneal Carcinomatosis
2. Lymphatic Spread
»ÃÐÁÒ³ 50% ¢Í§¼Ùé»èÇÂÁÐàÃç§ÅÓäÊéãËè¨ÐÁÕ¡ÒÃá¾Ãè¡ÃÐ¨ÒÂ¢Í§à«ÅÅìÁÐàÃç§ä»ÊÙèµèÍÁ¹éÓàËÅ×Í§ã¡Åéà¤ÕÂ§áÅÐ¨Ò¡ Regional Nodes ä»ÊÙè Mesenteric Nodes áÅÐ Aortic Nodes µÒÁÅÓ´Ñº ÁÐàÃç§ÊèÇ¹ Rectum ÍÒ¨á¾Ãè¡ÃÐ¨ÒÂ´éÇÂÇÔ¸Õ¹Õéä»ÊÙè Inguinal Nodes, Obturator, ËÃ×Í Iliac Nodes µÒÁÅÓ´Ñº
3. Venous Spread
¡ÒÃá¾Ãè¡ÃÐ¨ÒÂ¢Í§ÁÐàÃç§´éÇÂÇÔ¸Õ¹Õé¾ºä´éºèÍÂ ÍÑµÃÒàÊÕèÂ§¢Í§¡ÒÃá¾Ãè¡ÃÐ¨ÒÂ¨Ðà¡Ô´¢Öé¹ÁÒ¡·ÕèÊØ´àÁ×èÍÁÐàÃç§ÅØ¡ÅÒÁä»¶Ö§àÊé¹àÅ×Í´´Ó¹Í¡ªÑé¹ Muscularis Propria
4. Implantation
à¡Ô´¨Ò¡¡ÒÃ·ÕèÁÐàÃç§ËÅØ´¡ÃÐ¨ÒÂÍÍ¡¨Ò¡¡éÍ¹ÁÐàÃç§â´ÂµÃ§ áÅÐä»à¨ÃÔàµÔºâµ·ÕèÍÇÑÂÇÐ·ÕèÍÂÙèã¡Åéà¤ÕÂ§ «Öè§ÍÒ¨à¡Ô´¢Öé¹àÍ§ËÃ×Íà¡Ô´¢Öé¹ÃÐËÇèÒ§·Ó¡ÒÃ¼èÒµÑ´ ·ÓãËéà¡Ô´¡ÒÃá¾Ãè¡ÃÐ¨ÒÂ¢Í§à«ÅÅìÁÐàÃç§ä»µÒÁàÂ×èÍºØªèÍ§·éÍ§ËÃ×ÍºÃÔàÇ³á¼ÅàÂçº

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Last modified on 25 October 1996