Rectal Cancer: Overview

Rectal Cancer: Overview

Published on 10 December 2020
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Transcript
00:00
Rectal Cancer 101
00:06
Staging Workup
00:06
CT C/A/P
00:08
MRI Pelvis
00:10
Biopsy
00:13
Watch for Threatened Margins and Lymph Nodes
00:17
T3-4
00:17
T1-2 N0
00:17
If Lymph Nodes Positive: Chaemorads If Negative: Discussion
00:19
Surgery -- Unless Close to Anal Verge Then Consider Neoadjuvant
00:24
Standard Chaemoradiation Capecitabine 1650 mg PO BID on Radiation Days
00:29
T4N2: Neoadjuvant FOLFIRINOX vs FOLFOX
00:31
Remember: total adjuvant + neoadjuvant exposure = 6 months!!!
00:35
Adjuvant = Capecitabine-Based If Nodes (+) and < 70 yo, add Oxaliplatin 7% Benefit in Stage III
00:40
The End!!!!!