Would you recommend additional post-operative chemoradiation for a T2N1 proximal rectal cancer having received adjuvant capecitabine/oxaliplatin?
What factors might play into this decision?
Answer from: Radiation Oncologist at Community Practice
Pathologic T2N1 after high-quality R0 TME, in an otherwise favorable pelvic risk patient (per pre-op staging MRI) with upper rectal cancer, would not be sufficient for me to recommend post-op CRT as I don’t think there would be a clinically significant benefit that would warrant the known acut...
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Answer from: Medical Oncologist at Community Practice
Neoadjuvant/adjuvant therapy of stage II (T3–4, node-negative disease with tumor penetration through the muscle wall) or stage III (node-positive disease without distant metastasis) rectal cancer usually includes locoregional treatment for the relatively high risk of local failure due to the c...
Answer from: Radiation Oncologist at Academic Institution
Yes
Comments
Radiation Oncologist at UTHSCSA
Yes, this requires postoperative treatment. Failur...
Yes, this requires postoperative treatment. Failur...