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Management of Recurrent Rectal Cancer

  • Colorectal Cancer
  • Published:
Annals of Surgical Oncology Aims and scope Submit manuscript

Abstract

Background

Here we present a concise review on the evaluation and management of locally recurrent rectal cancer, which despite marked reductions in the rate of recurrent rectal cancer remains an important problem.

Methods

This educational review discusses the diagnosis, evaluation, and management of recurrent rectal cancer.

Results

Despite improvements in both the neoadjuvant and surgical management of rectal cancer, local recurrence is still an important problem, with documented recurrence rates of 4% to 8%. The local management of recurrence requires a team of specialist. Accurate detection and diagnosis followed by chemoradiotherapy and surgical resection may result in 5-year survival rates of up to 35%.

Conclusions

We discuss the diagnosis, evaluation, and management of locally recurrent rectal cancer. Locally recurrent rectal cancer can be successfully managed with multimodal therapy leading to successful palliation and often cure.

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Authors and Affiliations

  1. Division of Colorectal Surgery, Mayo Clinic Arizona, Scottsdale, AZ, USA

    Philippe Bouchard MD, FRCSC

  2. Division of Colorectal Surgery, Johns Hopkins University, Baltimore, MD, USA

    Jonathan Efron MD, FACS, FASCRS

Authors
  1. Philippe Bouchard MD, FRCSC
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  2. Jonathan Efron MD, FACS, FASCRS
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Corresponding author

Correspondence to Jonathan Efron MD, FACS, FASCRS.

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Bouchard, P., Efron, J. Management of Recurrent Rectal Cancer. Ann Surg Oncol 17, 1343–1356 (2010). https://doi.org/10.1245/s10434-009-0861-2

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  • DOI: https://doi.org/10.1245/s10434-009-0861-2

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