Would you treat the inguinal nodes in a patient who had an adenocarcinoma excised from the anal canal?
In a lesion <2.5 cm from anal verge arising in a tubulovillous adenoma, does the data from Taylor, et. al. Red Journal 2001 apply?
Answer from: Radiation Oncologist at Academic Institution
I would definitely include the external iliac nodes for such a case. I would also definitely add the inguinal nodes if the cancer were extending to the verge or beyond. I would also scrutinize the imaging studies very carefully; a 1-2 cm inguinal node has to be of greater concern in this setti...
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Answer from: Radiation Oncologist at Academic Institution
I have had patients with very low rectal cancer (4 cm from the verge) recur in the inguinal nodes after definitive radiation. For a clearly involved anal canal, I would always treat.