Would you treat rectal squamous cell carcinoma the same as rectal adenocarcinoma, stage for stage?
Any adjustments in terms of elective nodal coverage?
Answer from: Radiation Oncologist at Academic Institution
No, I will treat rectal squamous cell carcinoma the same as anal squamous cell carcinoma, with definitive chemoradiation with 5FU/mitomycin. If the cancer invades the posterior vaginal wall or prostate, I will also include external ilac nodes. If the tumor involves lower rectum/anus, I will also tre...
Comments
Radiation Oncologist at Washington University School of Medicine I would review carefully with pathology to make su...
Radiation Oncologist at Cancer Treatment Center at Hazleton Treatment of the inguinal lymph nodes without anal...
Answer from: Radiation Oncologist at Academic Institution
Location is everything. If the tumor approaches the anal canal, I would treat like answered above, with combined chemo/RT appropriate for squamous cell cancer of the anus. However, if the tumor starts a significant distance from the dentate line, I would consider preoperative radiation and chemother...
Comments
Medical Oncologist at Southern Cancer Center I agree, but in addition to location, HPV status w...
Answer from: Radiation Oncologist at Community Practice
I have received a number of referrals from gastroenterologists for patients with “rectal SCC”. DRE usually reveals a typical mass originating in the anal canal and bridging the dentate line. I believe the “mislabeling” may occur during colonoscopy, when these are viewed by a ...
Comments
Radiation Oncologist at Rush University Medical Center The answers by @Chi Lin, @Krystyna D. Kiel, and @T...
Radiation Oncologist at Cancer Treatment Center at Hazleton Though not replacing a physical exam, I would thin...
I would review carefully with pathology to make su...
Treatment of the inguinal lymph nodes without anal...