South Asian J Cancer. 2019 Apr-Jun;8(2):98-101. doi: 10.4103/sajc.sajc_203_17.
Efficacy of preoperative chemoradiotherapy in downstaging rectal cancer and its impact on the long-term outcome.
South Asian journal of cancer
Janaki Gururajachar Manur, Rahil Bharatbhai Patel, Sathish Chandramouli
Affiliations
Affiliations
- Department of Radiotherapy, M. S. Ramaiah Medical College, Bengaluru, Karnataka, India.
- Department of Surgical Oncology, M. S. Ramaiah Medical College, Bengaluru, Karnataka, India.
PMID: 31069187
PMCID: PMC6498706 DOI: 10.4103/sajc.sajc_203_17
Abstract
INTRODUCTION: Response to preoperative chemoradiation (PRTCT) for rectal cancer predicts the long-term outcome.
CONTEXT: Tertiary care hospital.
AIMS: The aim is to study the factors affecting the response to chemoradiation.
SETTINGS AND DESIGN: Retrospective.
MATERIALS AND METHODS: Twenty-three patients of rectal cancer undergoing PRTCT followed by surgery and adjuvant chemotherapy were followed up for 20-56 months. Postoperative response, tumor downstaging and nodal downstaging were correlated with the disease status.
RESULTS: Tumor downstaging was seen in 11 (50%) and nodal downstaging in 12 (63.15%) patients. Nodal downstaging was statistically significant with
CONCLUSION: Most patients of rectal cancer show PR to PRTCT, and the benefit is more for node-positive patients. Nodal PCR is associated with a higher chance of long-term disease control.
Keywords: Downstaging; long-term outcome; preoperative radiation; rectal cancer
Conflict of interest statement
There are no conflicts of interest.
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