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World Journal of Surgery

Published in:

01-07-2010

Preoperative Radiochemotherapy in T3 Operable Low Rectal Cancers: A Gold Standard?

Authors: Claudio Fucini, Filippo Pucciani, Claudio Elbetti, Riccardo Gattai, Antonio Russo

Published in: World Journal of Surgery | Issue 7/2010

Abstract

Background

Preoperative chemoradiation followed by total mesorectal excision (TME) has become a standard treatment of preoperatively staged T3 low rectal cancers in many institutions; however, a direct comparison of generalized preoperative versus selective adjuvant chemoradiation has never been assessed in a clinical practice setting.

Patients

Over a 4-year period, 80 patients with T3 primary low adenocarcinoma of the rectum, judged operable at preoperative staging, were offered preoperative chemoradiation. Forty-seven patients (Group I) accepted the neoadjuvant treatment and 33 (Group II) preferred immediate surgery and postoperative chemoradiation if indicated.

Results

Major postoperative complications occurred in 21% of Group I versus in 11% of Group II (p = 0.3) patients. After a mean follow-up of 92 months, the local recurrence rate was 4 and 9% (p = 0.4), metastasis rate was 30 and 24% (p = 0.5), 5-year survival probability was 0.79 (95% CI = 0.49–0.92) and 0.82 (95% CI = 0.70–1.00) (log-rank test, p = 0.6) for Group I and Group II, respectively.

Conclusions

In T3 operable low rectal cancers, selective postoperative radiochemotherapy yielded similar long-term results regarding recurrence rate and survival as extended preoperative chemoradiation.

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Title: Preoperative Radiochemotherapy in T3 Operable Low Rectal Cancers: A Gold Standard?
Authors: Claudio Fucini
Filippo Pucciani
Claudio Elbetti
Riccardo Gattai
Antonio Russo
Publication date: 01-07-2010
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 7/2010
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-010-0513-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Preoperative Radiochemotherapy in T3 Operable Low Rectal Cancers: A Gold Standard?

Abstract

Background

Patients

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Patients

Results

Conclusions

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