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Topics:
Radiation Oncology • Gastrointestinal Cancers • Rectal Cancer • Medical Oncology • Colorectal Cancer
Would you recommend adjuvant capecitabine and radiation in addition to adjuvant FOLFOX for a patient with resected pT3N2 rectosigmoid adenocarcinoma with other high-risk pathologic features?
In general: when would you recommend adjuvant radiation and capecitabine for a colon cancer?
Answer from: Medical Oncologist at Academic Institution
As with all rectal tumors, those that are labeled as "rectosigmoid" should be reviewed in a multidisciplinary tumor board at a center with deep sub-specialty expertise. In general, radiation is provided for rectal cancers--unlike for colon cancers--because of the increased risk of local recurrence a...
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Answer from: Radiation Oncologist at Academic Institution
No, there is no evidence of any local control limitation or survival benefit in colon cancer unless there's a perforation. There is no indication for radiation in this case.
Comments
Radiation Oncologist at Asheville Specialty Hospital
In this case, the tumor was obstructing and locate...
In this case, the tumor was obstructing and locate...
Radiation Oncologist at Memorial Sloan-Kettering Cancer Center
The distance from the anal verge is probably the m...
The distance from the anal verge is probably the m...