Would you recommend post-operative chemoRT for a young female patient with cT2N0 rectal adenocarcinoma who had pT2N1 disease, with 1/21 lymph nodes positive?
Pathology also notable for LVI +, PNI+, but with negative margins.
Answer from: Radiation Oncologist at Academic Institution
I would also want to know the location of the tumor in the rectum and be sure that the patient had a TME. For a mid to high rectal tumor with a TME, I would definitely not recommend RT. For a low rectal tumor, the situation is a bit more difficult. However, since there were a good number of nodes re...