How would you plan a post-op, distal rectal adenocarcinoma s/p neo-adjuvant chemotherapy and APR with minimal treatment response?

The PROSPECT trial evaluated the omission of radiotherapy from preoperative management for cases that presented with a disease that could be resected with a sphincter-sparing TME. In addition, if the disease responded poorly to preoperative FOLFOX, then patients on that arm were required to receive ...

It is easy to say what should have happened before the patient comes to see you, but not entirely helpful in treating the patient at hand. This type of situation happens routinely in community practice. Many times, the general surgeon who performed the diagnostic colonoscopy manages who gets the ref...

If you’re considering postop RT, the patient should have received preop RT.