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Preoperative radiation therapy with sensitizers in the management of carcinoma of the rectum
Authors:Dr. Ben Sischy M.D.  Michael J. Graney M.D.  E. Josephine Hinson R.T.T.  Raman Qazi M.D.
Affiliation:(1) Highland Hospital of Rochester, South Avenue at Bellevue Drive, 14620 Rochester, New York
Abstract:There is enough evidence to show that adjuvant radiation therapy contributes to the management of patients with carcinoma of the rectum. In an effort to improve resectability and possibly survival rates, the use of chemosensitizers, combined with moderate doses of radiation used presurgically, was introduced for carcinomas larger than 5 cm in diameter requiring abdominoperineal resection. Based on our experience and that of others, it is believed that the method of administration of 5FU and mitomycin-C is an important factor in obtaining an increased therapeutic ratio. Because of the locoregional pattern of spread of rectal cancer, this adjuvant approach would appear suitable. A series of approximately 60 patients is discussed and the surgical findings and five-year survival is reported. Read at the Joint Meeting of the American Society of Colon and Rectal Surgeons with the Section of Colo-Proctology, Royal Society of Medicine, and the Section of Colonic and Rectal Surgery, Royal Australasian College of Surgeons, New Orleans, Louisiana, May 6 to 11, 1984.
Keywords:Rectal cancer  Radiation therapy  Preoperative adjuvant radiation for cancer of the rectum  Chemosensitization
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