In a patient treated with chemoradiation therapy for anal cancer 10+ years ago who presents again with localized anal squamous cell carcinoma, would you consider repeat chemoradiation for organ preservation instead of APR since so much time has passed since the first treatment?
Does the amount of time from 1st treatment change your management or thinking in this situation?
What if patient adamantly refused APR?
A good APR colostomy is better than a bad sphincte...
Agreed. I should've said “illogically”...