Radiat Oncol J.  2017 Dec;35(4):295-305. 10.3857/roj.2017.00395.

Controversial issues in radiotherapy for rectal cancer: a systematic review

Affiliations
  • 1Department of Radiation Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. jhkim2@amc.seoul.kr

Abstract

The role of radiotherapy (RT) as an adjuvant to surgical options in the treatment of locally advanced rectal cancer has been established as it reduces local recurrence when combined with surgical resection and enhances survival when used in multidisciplinary treatment. However, many issues need to be addressed; some of these can render RT unnecessary, whereas others can reveal a new role of RT in rectal cancer. This review will discuss not only the basic role of RT but also the associated but controversial issues in detail in an attempt to find answers and determine future directions for the next decade.

Keyword

Rectal neoplasms; Radiotherapy; Margins of excision; Local excision

MeSH Terms

Radiotherapy*
Rectal Neoplasms*
Recurrence
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