How would you manage a patient with T3N0 rectal cancer status post transanal excision, who is not a surgical candidate, and who received pelvic radiation for prostate cancer 20 years ago?

Topics: Radiation Oncology • Gastrointestinal Cancers

Would you be confortable to give full dose CRT?

Answer from: Radiation Oncologist at Academic Institution

Abdominal or abdominoperineal resection. T3 tumors have a 20+% risk of recurrence despite radiation and local excision. If truly T3N0, the risk may be the same with surgery. And reirradiation is fraught with risk.

Comments

Radiation Oncologist at St. Mary's Health Care
You're right that reirradiation is fraught with ri...

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