In a patient with prior RT to the prostate and SVs and newly diagnosed, locally advanced rectal cancer at 10-15 cm, would you offer preoperative chemoradiation?
If so, would you modify your field? Would you consider preoperative chemotherapy alone?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · Henry Ford Health System
Answered on
"Locally advanced" rectal cancer was traditionally described as T3/4N0M0 or TxN+M0 cancer, but we have advanced much farther on the characterization of this now.
We also know that the local control of patients undergoing resection for high rectal cancer (10-15 cm from the anal verge) is much better than low rectal cancer.
I am going to assume that:
- The patient is a candidate for a low anterior resection with a continent anastomosis and
- The tumor is currently resectable with a clear circumferential...
Join for free or sign in to see the full answer