Basic Treatment Planning

Management – localised

• Surgery Tumour within 5cm (lower) from anal verge

Total mesorectal excision (TME) + abdomino-perineal resection (APR) + permanent colostomy

Tumour 5-15cm (mid-upper) from anal verge TME + anterior resection (no permanent stoma) • Pre-operative RT+/- chemotherapy if ↑ risk of local recurrence