Rectum recs.

Here’s the latest ASTRO consensus recommendations on radiation treatment for rectal cancer...and it’s not qualified by pandemic conditions. Highlights include strong (read: almost all informed people would choose this) recs for either long-course with concurrent capecitabine or short-course without concurrent chemo neoadjuvant radiation for stage II-III disease—yeah, that one’s not that helpful—and conditional (read: most informed people would choose this while a substantial amount wouldn’t) recs for omission of surgery following a complete clinical response to long-course neoadjuvant radiation with or without TNT—but only if it is deemed a total mesorectal excision would result in a permanent ostomy. TBL: File these recs away to confirm your plans for rectal cancer are ASTRO-endorsed, for which the odds are good given the extensive list of sanctioned options. | Wo, Pract Radiat Oncol 2020

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