The ideal treatment of rectosigmoid cancers is often nebulous, as depending on their presentation, they can be approached like rectal cancer or colon cancer.Given that this patient had initial surgery, I would approach this patient as a higher risk stage 2 colon cancer, based on the perforation as w...

I agree with all of the above. The early postoperative trials did not stratify for risk factors such as T and N stage, number of negative nodes, or importantly distance from the anal verge. When the NSABP R-02 trial did not show a survival benefit chemo radiation versus chemo therapy alone, the inte...

I agree with Dr. @Steven J. Cohen that 3 months of Capecitabine (+/- oxaliplatin depending on patient specific factors) is appropriate here. The only situation I would consider adding radiation as part of adjuvant treatment, in this case, is if it was truly a rectal cancer (completely below the per...