John Libbey Eurotext

Bulletin du Cancer


Locoregional recurrent rectal cancer: position of radiotherapy Volume 91, issue 11, Novembre 2004

Service de radiothérapie,, Service d’oncologie médicale, CHU Jean-Minjoz, 25030 Besançon Cedex

Currently, locoregional recurrence of rectal cancer is rare due to the therapeutic progress of total mesorectal excision and pre-operative radiotherapy. Nevertheless, a curative treatment could be proposed provided that surgical removal is possible and complete. Here, we will discuss the position of both external and intra-operative radiotherapy, and concomitant chemotherapy. Actually, multimodal therapy provides the best results for local control and overall survival. Exclusive external radiotherapy is indicated for palliative treatment of unresectable cases of recurrence.