For patients undergoing TNT for rectal cancer with planned operative management, what is the optimal sequencing and timing of workup imaging and procedures?

Topics: Radiation Oncology • Gastrointestinal Cancers • Rectal Cancer

Do you have a preference in ordering MRI, endoscopy, CT scan (chest, abdomen, pelvis), EUS, or other testing before starting any treatment, for re-staging, and before surgery?

Answer from: Radiation Oncologist at Academic Institution

I think the question that is posed does not really make sense as written. One should not be making decisions about management (i.e. TNT) before the staging evaluation is complete. If a patient presents with a newly diagnosed rectal cancer, the first thing to do is to stage to find out whether the pr...

Comments

Radiation Oncologist at Radiation Oncology of Rochester, PLLC
Dr. @Tepper, thank you for the answer. The questio...

Radiation Oncologist at RadiantCare
Hi @Sheema Chawla - We order comprehensive staging...

Radiation Oncologist at Radiation Oncology of Rochester, PLLC
Dr. @Deig, this is helpful.

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