How do you manage colorectal tumors that have components in the colon and rectum on MRI?
For example, portion is seen above and below the mesorectal fascia. Do you feel comfortable treating as colon cancer with surgery upfront?
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How do you manage >= cT3 colorectal tumors that have components in the colon and rectum on MRI?
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3 Answers
Mednet MemberInvited Expert
Radiation Oncology · University of North Carolina at Chapel Hill
Answered on
For a tumor straddling the peritoneal reflection, it is only the rectal component that would make one consider RT. The reason for a local recurrence of rectal cancer is residual disease from the primary tumor either at the margin of resection of the primary tumor or from residual lymph nodes in the ...
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Mednet MemberInvited Expert
Radiation Oncology · University of Florida
Answered on
Like rectal cancer. Preop RT chemo and surgery.
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Mednet Member
Radiation Oncology · Jacob E Locke MD PA
Answered on
Omission of preoperative RT is conditionally recommended in selected patients with lower risk of locoregional recurrence.
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