Non-operative management of locally advanced rectal cancer Journal Article


Authors: Milgrom, S. A.; Goodman, K. A.
Article Title: Non-operative management of locally advanced rectal cancer
Abstract: A combination of chemoradiation therapy (CRT) and total mesorectal excision (TME) provides excellent locoregional control in locally advanced rectal cancer; however, this regimen may be associated with significant morbidity. Researchers have assessed the safety of omitting rectal resection in patients who achieve a clinical complete response to CRT. Preliminary results have been promising. However, the accurate identification of patients who have responded completely to CRT is a challenge to non-operative management. Other areas warranting further investigation include techniques to increase response rates and to identify upfront those patients who are most likely to respond to CRT. © 2014 Elsevier Inc.
Keywords: cancer chemotherapy; treatment response; overall survival; advanced cancer; cancer adjuvant therapy; disease free survival; nuclear magnetic resonance imaging; progression free survival; morbidity; carcinoembryonic antigen; cohort analysis; antigen detection; brachytherapy; physical examination; external beam radiotherapy; endoscopy; rectum cancer; digital rectal examination; rectoscopy; human; article
Journal Title: Seminars in Colon and Rectal Surgery
Volume: 25
Issue: 1
ISSN: 1043-1489
Publisher: Elsevier Inc.  
Date Published: 2014-03-01
Start Page: 22
End Page: 25
Language: English
DOI: 10.1053/j.scrs.2013.09.006
PROVIDER: scopus
DOI/URL:
Notes: Export Date: 3 March 2014 -- CODEN: SCRSF -- Source: Scopus
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  1. Karyn A Goodman
    257 Goodman
  2. Sarah Allison Milgrom
    22 Milgrom