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How would you approach a small mucinous adenocarcinoma of the anal verge (without anal canal involvement) with positive margins after resection?
Further surgery is not possible.
Answer from: Radiation Oncologist at Community Practice
If resection is not feasible to get negative margins without an APR then I would favor treating with concurrent chemo (xeloda) with RT to a dose in mods 50s to area of positive margin.
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Answer from: Radiation Oncologist at Academic Institution
Agree with concurrent (xeloda-based) chemoradiation 50-54Gy and close observation subsequently.