Digital DiagnosticsDigital DiagnosticsDigital DiagnosticsDigital Diagnostics2712-84902712-8962Eco-Vector52966810.17816/DD529668Practice GuidelinesКлинические рекомендации临床实践指南Research ArticleТerminology of rectal cancer: consensus agreement of the expert working groupТерминология рака прямой кишки: консенсусное соглашение Рабочей группы экспертов РОРР, АОР и РАТРО直肠癌术语：RSR、AOR和RATRO专家工作组达成的一致意见https://orcid.org/0000-0002-3549-44995837-3465BerezovskayaTatiana P.БерезовскаяТатьяна ПавловнаBerezovskayaTatiana P.
Russian Federation

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д-р мед. наук, профессор

MD, Dr. Sci. (Med.), Professor

tberezovska@yahoo.comhttps://orcid.org/0000-0001-8378-43389712-9091RubtsovaNatalia A.РубцоваНаталья АлефтиновнаRubtsovaNatalia A.
Russian Federation

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д-р мед. наук

MD, Dr. Sci. (Med.)

rna17@ya.ruhttps://orcid.org/0000-0002-5649-21938449-6590SinitsynValentin E.СиницынВалентин ЕвгеньевичSinitsynValentin E.
Russian Federation

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д-р мед. наук, профессор

MD, Dr. Sci. (Med.), Professor

vsin@mail.ruhttps://orcid.org/0000-0002-9442-74808310-8989ZarodnyukIrina V.ЗароднюкИрина ВладимировнаZarodnyukIrina V.
Russian Federation

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zarodnyuk_iv@gnck.ruhttps://orcid.org/0000-0001-5994-04683018-2527NudnovNicolai V.НудновНиколай ВасильевичNudnovNicolai V.
Russian Federation

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д-р мед. наук, профессор

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nudnov@mrrc.ruhttps://orcid.org/0000-0001-7921-34878825-4704MishchenkoAndrei V.МищенкоАндрей ВладимировичMishchenkoAndrei V.
Russian Federation

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dr.mishchenko@mail.ruhttps://orcid.org/0000-0002-8403-195X3427-9074TrubachevaYuliya L.ТрубачеваЮлия ЛеонидовнаTrubachevaYuliya L.
Russian Federation

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trubacheva_ul@gnck.ruhttps://orcid.org/0000-0003-1530-13275467-7347BergenTatiana A.БергенТатьяна АндреевнаBergenTatiana A.
Russian Federation

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tbergen@yandex.ruhttps://orcid.org/0000-0003-4665-69993109-1583GrishkoPavel Yu.ГришкоПавел ЮрьевичGrishkoPavel Yu.
Russian Federation

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канд. мед. наук

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dr.grishko@mail.ruhttps://orcid.org/0000-0002-9666-93013987-2336BalyasnikovaSvetlana S.БалясниковаСветлана СергеевнаBalyasnikovaSvetlana S.
Russian Federation

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канд. мед. наук

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Balyasnikova.Svetlana@gmail.comhttps://orcid.org/0000-0002-4524-0839DaynekoYana A.ДайнекоЯна АлександровнаDaynekoYana A.
Russian Federation

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канд. мед. наук

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vorobeyana@gmail.comhttps://orcid.org/0000-0002-7086-9153RyjkovaDarya V.РыжковаДарья ВикторовнаRyjkovaDarya V.
Russian Federation

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д-р мед. наук, профессор

MD, Dr. Sci. (Med.), Professor

d_ryjkova@mail.ruhttps://orcid.org/0000-0002-2172-57783999-7304HodzhibekovaMalika M.ХоджибековаМалика МаратовнаHodzhibekovaMalika M.
Russian Federation

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malika_25@mail.ruhttps://orcid.org/0000-0002-8063-44622196-8300RuchevaNataliya A.РучьеваНаталья АлександровнаRuchevaNataliya A.
Russian Federation

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rna1969@yandex.ruhttps://orcid.org/0000-0002-8587-44226499-2398TurinIgor E.ТюринИгорь ЕвгеньевичTurinIgor E.
Russian Federation

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д-р мед. наук, профессор

MD, Dr. Sci. (Med.), Professor

igortyurin@gmail.comhttps://orcid.org/0000-0001-9294-54475467-1062AchkasovSergey I.АчкасовСергей ИвановичAchkasovSergey I.
Russian Federation

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д-р мед. наук, профессор, чл.-корр. РАН

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achkasovy@mail.ruhttps://orcid.org/0000-0001-5961-29583787-6139NevolskikhAlexey A.НевольскихАлексей АлексеевичNevolskikhAlexey A.
Russian Federation

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д-р мед. наук

MD, Dr. Sci. (Med.)

alexey.nevol@gmail.comhttps://orcid.org/0000-0002-9303-83796577-5540GordeevSergey S.ГордеевСергей СергеевичGordeevSergey S.
Russian Federation

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д-р мед. наук

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ss.netoncology@gmail.com1908-2624DroshnevaInna V.ДрошневаИнна ВикторовнаDroshnevaInna V.
Russian Federation

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канд. мед. наук

MD, Cand. Sci. (Med.)

droshnevainna@mail.ruA.F. Tsyba Medical Radiological Research Center ― branch National Medical Research Radiological CenterМедицинский радиологический научный центр имени А.Ф. Цыба ― филиал ФГБУ «Национальный медицинский исследовательский центр радиологии»A.F. Tsyba Medical Radiological Research Center ― branch National Medical Research Radiological CenterP.A. Herzen Moscow Research Oncological Institute ― branch National Medical Research Radiological CenterМосковский научно-исследовательский онкологический институт имени П.А. Герцена ― филиал ФГБУ «Национальный медицинский исследовательский центр радиологии»P.A. Herzen Moscow Research Oncological Institute ― branch National Medical Research Radiological CenterLomonosov Moscow State UniversityМосковский государственный университет имени М.В. ЛомоносоваLomonosov Moscow State UniversityState Scientific Centre of ColoproctologyНациональный медицинский исследовательский центр колопроктологии имени А.Н. РыжихState Scientific Centre of ColoproctologyRussian Scientific Center of RoentgenoradiologyРоссийский научный центр рентгенорадиологииRussian Scientific Center of RoentgenoradiologyN.N. Petrov National Medical Research Centre of OncologyНациональный медицинский исследовательский центр онкологии имени Н.Н. ПетроваN.N. Petrov National Medical Research Centre of OncologyE. Meshalkin National Medical Research CenterНациональный медицинский исследовательский центр имени академика Е.Н. МешалкинаE. Meshalkin National Medical Research CenterN.N. Blokhin National Medical Research Center of OncologyНациональный медицинский исследовательский центр онкологии имени Н.Н. БлохинаN.N. Blokhin National Medical Research Center of OncologyAlmazov National Medical Research CentreНациональный медицинский исследовательский центр имени В.А. АлмазоваAlmazov National Medical Research CentreV.I. Shumakov National Medical Research Center of Transplantology and Artificial OrgansНациональный медицинский исследовательский центр трансплантологии и искусственных органов имени академика В.И. ШумаковаV.I. Shumakov National Medical Research Center of Transplantology and Artificial Organs0409202326092023433063210307202310072023Copyright ©; 2023, Eco-VectorCopyright ©; 2023, Эко-векторCopyright ©; 2023, Eco-Vector2023Eco-VectorЭко-векторEco-Vectorhttps://creativecommons.org/licenses/by-nc-nd/4.0https://jdigitaldiagnostics.com/DD/article/view/529668

Unified terminology is a necessary condition for successful interdisciplinary communication within the field of oncology. The variety of anatomical, pathomorphological, and clinical terms used in rectal cancer is often accompanied by their ambiguous interpretation both in domestic and foreign scientific literature. This not only complicates the interaction between specialists, but also complicates the comparison of the results of rectal cancer treatment obtained in different medical institutions.

Based on the analysis of recent domestic and international scientific and methodological literature on rectal cancer, the key terms used in the diagnosis and treatment planning of rectal cancer were selected, followed by a two-time online discussion of their interpretations by experts from the Russian Society of Radiologists and Therapeutic Radiation Oncologists, the Association of Oncologists of Russia, and the Russian Association of Therapeutic Radiation Oncologists until reaching consensus (≥80%) of experts on all items. Terms that fail to attain consensus were excluded in the final list.

A list of anatomical, pathomorphological, and clinical terms used in the diagnosis, staging, and treatment planning of rectal cancer has been compiled and, based on expert consensus, their interpretation has been determined.

A lexicon recommended in the description and formulation of the conclusion of diagnostic studies in patients with rectal cancer is proposed.

Унифицированная терминология ― необходимое условие успешной междисциплинарной коммуникации в онкологии. Многообразие анатомических, патоморфологических и клинических терминов, используемых при раке прямой кишки, нередко сопровождается неоднозначной их трактовкой как в отечественной, так и зарубежной научной литературе. Это не только усложняет взаимодействие между специалистами, но и затрудняет сравнение результатов лечения рака прямой кишки, полученных в разных лечебных учреждениях.

На основе анализа современной отечественной и международной научно-методической литературы по раку прямой кишки были отобраны ключевые термины, используемые при диагностике и планировании лечения злокачественного новообразования, с последующим двукратным онлайн-обсуждением их трактовок экспертами Российского общества рентгенологов и радиологов, Ассоциации онкологов России и Российской ассоциации терапевтических радиационных онкологов до достижения консенсуса (≥80%) экспертов по всем пунктам. Термины, по которым консенсус не был достигнут, не включены в итоговый список.

В результате работы составлен список анатомических, патоморфологических и клинических терминов, используемых при диагностике, стадировании и планировании лечения рака прямой кишки, и на основе консенсуса экспертов определена их трактовка.

Предложен словарь терминов, рекомендуемых при описании и формулировке заключения диагностических исследований у пациентов с раком прямой кишки.

统一术语是肿瘤学跨学科交流取得成功的必要条件。直肠癌的解剖学、病理形态学和临床术语多种多样，国内外科学文献对这些术语的解释往往模棱两可。这不仅使专科医生之间的交流变得复杂，而且难以比较不同医疗机构的直肠癌治疗效果。

根据对国内外关于直肠癌的现代科学和方法学文献的分析，选出了恶性肿瘤诊断和治疗计划中使用的关键术语，然后由俄罗斯放射科医师协会（Russian Society of Radiology，RSR）、 俄罗斯肿瘤科医生协会（Associations of Oncologists of Russia，AOR）和俄罗斯医疗放射肿瘤科医生协会（Russian Association of Therapeutic Radiation Oncologists，RATRO）的专家对这些术语的解释进行了两次在线讨论，直到专家们就所有项目达成共识（≥80%）。 未达成共识的术语没有被纳入最终清单。

这项研究产生了一份用于直肠癌诊断、分期和治疗计划的解剖学、病理形态学和临床术语清单，并通过专家共识确定了这些术语的释义。

建议一份术语表，用于描述和制定直肠癌患者诊断检查的结论。

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