Would having mucinous rectal adenocarcinoma impact your recommendation for short vs long course RT as part of a TNT regimen?
Additional risk factors include T4, EMVI, N2+, involved/threatened MRF.
Answer from: Radiation Oncologist at Academic Institution
I would have no problem treating this case with five fractions of 5 Gy followed ~2 weeks later with total neoadjuvant chemotherapy followed by extirpative surgery; with the RT/surgical template similar to that of the investigational arm of the RAPIDO study ( Lancet Oncology 2021; 22: 29-42). Note...