In what setting do you omit adjuvant radiation therapy in a T3N0 rectal cancer?
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1 Answers
Mednet Member
Radiation Oncology · University of Texas MD Anderson Cancer Center
The 1990 NCI consensus guidelines recommend postop chemoradiation for patients with pT3N0M0 rectal cancer. However, that was before TME was routine. In patients with pT3N0M0 disease who undergo a TME and have at least 12 nodes examined, I do not recommend radiation. The benefit of radiation is a 3-4...