1

: .

. , ,
. ,
 1. CRM (1)

CRM

 1. CRM (2)

: (non CRM)
: (non CRM)

: (non CRM)
: (partly CRM)

: (CRM)
: (CRM)

 1. CRM (3)
 2.

Quirke's graded assessment of completeness of mesorectal excision (MRC trial)

Grades 1 -3

(Grade 3) (Grade 3) (Grade 1)

< 5 .

Dr. R McLean, Royal Alexandra Hospital, Edmonton, Canada

 3.

 4.

( )

72

Dr. R McLean, Royal Alexandra Hospital, Edmonton, Canada

 5.

3 5 .

 6. , , (1)

CRM: , , CRM
CRM

 6. , , (2)

vs CRM
,
( ).

.

(+)
( + )
 7.

1.
3 blocks CRM
2 blocks

2.

3.

4.


 Tumour Regression Grading (TRG) system

(Dworak et al 1997, Ryan et al 2005)

Grade 0: ,

Grade 1: ,

Minimal: ,

Absent: ,

Ryan R, Gibbons D, Hyland JM, Treanor D, White A, Mulcahy HE, O'Donoghue DP, Moriarty M, Fennelly D, Sheahan
K. Pathological response following long-course neoadjuvant chemoradiotherapy for locally advanced rectal
cancer. Histopathology. 2005 Aug;47(2):141-6


( )

,
CRM

(, , )

CRM
(
-, (TRG grading)
 1.
 2.