Rectal Cancer

Consuling
A some T1 and T2, N0 lesions are treated with surgery without adjuvant therapy. For more advanced lesions adjuvant therapy is often recommended. Adjuvant therapy for rectal cancer consists of regimens that include both concurrent chemotherapy/RT and adjuvant chemotherapy. The chemotherapy/RT may be administered either pre or postoperatively.

Pre-operative Plan
Given Mr. «??» « performance status, imaging findings », we recommended pre-operative concurrent chemo/RT with the understanding that adjuvant chemotherapy may follow surgical therapy. We explained that preoperative radiation regimens are typically consisting of 45 Gy in 25 fractions to the pelvis and 5.4 Gy boost in 3 fractions to tumor bed may be individualized after CT planning or during treatment.

Post-operative Plan
Given Mr. «??» « performance status, imaging and pathological findings », we recommended post-operative concurrent chemo/RT with the understanding that adjuvant chemotherapy may follow the concurrent therapy. We explained that postoperative radiation regimens typically consisting of 45 Gy in 25 fractions to the pelvis, 9.0 Gy boost in 5 fractions to tumor bed, and 5.4 Gy final boost in 3 fractions to areas of close or positive margin but may be individualized after CT planning or during treatment.

Dr. «???» thank you for asking us to see Mr.«??». It was my pleasure.

Best regards,

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