How will the PROSPECT trial presented at ASCO 2023 change your current management of early rectal cancer?
Especially as the study was done before the adoption of total neoadjuvant therapy
Answer from: Radiation Oncologist at Academic Institution
I can’t overstate how much credit the Principal Investigator, Dr. @Deb Schrag, deserves for successfully completing the PROSPECT trial. The oncology community, particularly the radiation oncology community, was concerned that omitting radiation would put patients at risk. It was difficult and ...
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Medical Oncologist at Joliet Oncology Hematology Associates Thank you for an excellent commentary.
Medical Oncologist at NYU Winthrop Hospital Prospect study:-
MRI pelvis was not done.
EUS wa...
Radiation Oncologist at Brigham and Women's Hospital An MRI of the pelvis was done 84% off patients (Ta...
Answer from: Medical Oncologist at Academic Institution
PROSPECT is an important study with some equally important caveats. There are some patients for whom radiation can be omitted in the treatment of rectal cancer. However, for lower rectal cancers that need an APR, or T4 or N2 tumors, or those that don’t achieve at least 20% shrinkage with FOLFO...
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Medical Oncologist at OSF Saint Paul Medical Center Thanks for your input, was important.
Answer from: Medical Oncologist at Community Practice
Total Neoadjuvant Treatment (TNT) is the preferred approach for locally advanced rectal cancer based on the benefits including early prevention or eradication of micrometastases, higher rates of pathologic complete response, longer progression free survival, decreased length of time for ileostomy, i...
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Medical Oncologist at Mary Lanning Healthcare Morrison Cancer Center/University of Nebraska Medical Center Adjunct Faculty Thank you Dr. @Vatsal B. Patel. In the PROSPECT tr...
Medical Oncologist at Mary Lanning Healthcare Morrison Cancer Center/University of Nebraska Medical Center Adjunct Faculty Thank you for clarifying your question, Dr. @Patel...
Thank you for an excellent commentary.
Prospect study:- MRI pelvis was not done. EUS wa...
An MRI of the pelvis was done 84% off patients (Ta...