In patients with T1 anal squamous cell cancer status post local excision with a close margin, would you recommend close observation or adjuvant concurrent chemoradiation?
Margin is less than 1 mm. Would the grade of the tumor affect your decision? Would any other factors go into your decision?
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In patients with T1 anal SqCC s/p local excision with margin <1mm and unable to re-resect, would you recommend close observation or adjuvant chemoRT?
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1 Answer
Mednet MemberInvited Expert
Medical Oncology · University of Wisconsin
Answered on
I would solicit the opinions of my colorectal surgery and GI colleagues to see if re-resection (with TAMIS, for example) is possible. If it is not, I would likely observe. If the margin was positive and not just close, I would do traditional chemoradiation.
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