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Correspondence
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Volume 337:346-348 July 31, 1997 Number 5
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Radiotherapy for Rectal Cancer

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by Minsky, B. D.
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by Swedish Rectal Cancer Trial
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To the Editor: In the Swedish Rectal Cancer Trial (April 3 issue)1 more than 100 surgeons at 70 hospitals operated on 1168 patients in three years — fewer than 17 patients per hospital in three years, or fewer than 6 patients per hospital per year. With more than 100 surgeons participating, each on average performed fewer than four operations per year.

In this trial, the local-recurrence rate for Dukes' stage A cancers (4 percent after radiotherapy plus surgery and 12 percent after surgery alone) is unacceptably high and reflects less-than-adequate surgical techniques.

As noted in the discussion, it is possible . . . [Full Text of this Article]

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