How would you manage a patient with T3N0 rectal cancer status post transanal excision, who is not a surgical candidate, and who received pelvic radiation for prostate cancer 20 years ago?

Would you be confortable to give full dose CRT?

Answer from: Radiation Oncologist at Academic Institution

Abdominal or abdominoperineal resection. T3 tumors have a 20+% risk of recurrence despite radiation and local excision. If truly T3N0, the risk may be the same with surgery. And reirradiation is fraught with risk.

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Radiation Oncologist at St. Mary's Health Care
You're right that reirradiation is fraught with ri...

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How would you manage a patient with T3N0 rectal cancer status post transanal excision, who is not a surgical candidate, and who received pelvic radiation for prostate cancer 20 years ago?

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