By Philip Haythornthwaite, Adam Hook
A close, illustrated reference geared toward modellers, wargamers, historians and re-enactors. wide captions provide information, details and motives on Napoleonic subject matters.
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Enlarged lymph nodes may be reactive or metastatic, while in small nodes micrometastases are easily missed. In fact, as in other pelvic tumors, rectal cancer is characterized by the high frequency of micrometastases in normalsized nodes . Large variations in accuracy (62%–83%) for nodal detection can be found for endorectal US [38, 39], as well as for CT (22%–73%) [38, 40]. Accuracy rates for nodal detection with unenhanced MR imaging vary between 39% and 95% [41-43]. Unenhanced MR imaging is not absolutely 18 E.
Fig. 2 Residual ulcerated lesion after neoadjuvant therapy Fig. 3 Minimum distance between lesion and CRM (diagram) macroscopic distance of the lesion from the nonperitonealized resection margin (Figs. 5). Finally, describe any additional lesions found (polyps, diverticula, ischemic areas, adherence to the viscera, etc). Each phase should be accompanied by photographs showing: • quality of the nonperitonealized resection margin; • appearance of the lesion; 3 Pathology 31 Fig. 4 Fibrous striae projecting into mesorectal fat.
Quaia et al. Alterations in the rectum after CRT - such as histopathologic changes in the tumor, or replacement by fibrotic scar tissue with mucin pools [10, 63, 64] - make it difficult to detect viable tumor on unenhanced MR images. This results in a limited accuracy of MR in rectal cancer restaging after CRT. The limited accuracy of MR imaging in predicting mesorectal fat infiltration of non-irradiated rectal cancer is due to the limited capability for differentiation between viable tumor and desmoplastic tissue reaction.