Lower GI 2017

TRG : WHICH IS BEST ?

• Trakarnsarga et al ( 2014 ) • 563 rectal cancers : cT3/4 or N+ : 1998 – 2007 • CRT : 50.4 Gy plus 5FU based chemotherapy • TME after 6 – 8 weeks • Median F.U. 39 months • pCR = 21 % ; LR = 2 %; DM = 17 % • TRG determined by expert GI pathologists Mandard ( 5 & 3 tier ) Dworak / Rodel ( 5 & 3 tier ) MSKCC AJCC / CAP