Lower GI 2017

Management of inguinal region (CMT) • N negative • ENI 36 Gy if

• T within 1 cm from a/m • Invasion of anal margin • Pelvic nodes involved

• N positive

• CMT 60 Gy

Salvage surgery Note : delayed CR possible up to  4 months

if incomplete clinical response 16 weeks after CRT True cut biopsy AP resection well-trained team

Akbari. Dis Colon Rect 2004

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