Friday, 17 November 2017

Circumferential resection margin

«The circumferential resection margin (CRM) is a term used in rectal carcinoma excision surgery. Pathologic evaluation of the resection margin on the excised rectum has been considered important for determining the risk of local recurrence. A margin of ≤1 mm is considered by some to be a negative prognostic factor for local recurrence (Park JS, et al., 2014, apud 1). (...). The CRM is not valid for excised colon covered by a peritoneal lining [1].» It is defined as the shortest distance from an affected region to the mesorectal fascia (MRF) and should be at least 1 mm [2]. It also called the radial margin. 
Bibliographic references:
[1] Weerakkody Y, Morgan M, et al. Circumferential resection margin | Radiology Reference Article | Radiopaedia.org. Radiopaediaorg. Available at: https://radiopaedia.org/articles/circumferential-resection-margin. Accessed November 17, 2017.
[2] Bond S, Joshi N, Petroudi S, Brady M. Estimating the mesorectal fascia in MRI. Inf Process Med Imaging. 2007;20:650-61. Available at: https://doi.org/10.1007/978-3-540-73273-0_54.