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Published on: May 8, 2018
Effectiveness of image-guided radiotherapy for locally advanced rectal cancer
Nam P Nguyen1, Misty Ceizyk, Fabio Almeida
1Department of Radiation Oncology, University of Arizona, Tucson, AZ, USA. NamPhong.Nguyen@yahoo.com
Background:
Image-guided radiotherapy (IGRT) combines precise target visualization with optimal delivery of radiation dose to spare normal tissue from radiation and may potentially reduce side-effects and long-term treatment complications. We have assessed the effectiveness of IGRT for locally advanced rectal cancer.
Methods:
A retrospective review of 22 patients with locally advanced rectal cancer who underwent preoperative chemoradiation was conducted.
Results:
Nineteen patients (median age, 69 years) underwent surgical resection after chemoradiation. All 19 patients achieved complete resection with negative margins. Seven patients (32%) had no residual tumor in the surgical specimen. One patient had grade 4 gastrointestinal toxicity and hematological toxicity probably related to inadvertent overdosing of capecitabine. The median survival for the whole group-patients who had pCR and those who did not have pCR-was 14, 17, and 15 months, respectively.
Conclusions:
Image-guided radiotherapy provided effective treatment for locally advanced rectal cancer with minimal toxicity and should be investigated in future prospective trials.

