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Volume 355:2486-2488 December 7, 2006 Number 23
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Treatment of Rectal Cancer

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 by Bosset, J.-F.
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To the Editor: The article by Bosset and colleagues (Sept. 14 issue)1 provides support for the use of adjuvant chemotherapy in patients with locally advanced rectal cancer. However, information on nodal status and the extent of mesorectal invasion would have helped to characterize the role of neoadjuvant therapy in these patients. Among patients with clinical stage T3 disease, both nodal status and the extent of mesorectal invasion affect the risk of recurrence.2,3 In addition, with the growing indication that adjuvant therapy for minimally invasive stage T3N0 tumors is unnecessary,4 characterization of the "overtreatment" response according to nodal status and the . . . [Full Text of this Article]




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