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Management of T1 Rectal Cancer

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Difficult Decisions in Colorectal Surgery

Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY))

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Abstract

Colorectal cancer is the third most common cancer for both men and women and is the second leading cause of cancer-related deaths in the United States annually. In 2019, it was estimated that 145,600 new colorectal cancer cases were diagnosed in the last year and an estimated 51,020 deaths will have occurred [1]. The treatment for rectal cancer depends on the stage of disease at diagnosis. T1 cancers are defined as those that have grown into the submucosa only. Surgical management of rectal cancer is divided between local and radical resection. Total mesorectal excision (TME) is still considered the gold standard for the curative surgical treatment of rectal cancer. In order to decrease the morbidity associated with a radical resection, several local excision techniques have been developed, but the oncologic outcomes of these resections continue to be questioned. This chapter will explore the management of T1 rectal cancer including presentation and evaluation, operative management approaches, oncologic and quality of life outcomes, as well as review the evidence-based guidelines from both the National Comprehensive Cancer Network (NCCN) and the American Society of Colon and Rectal Surgeons (ASCRS).

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Authors and Affiliations

  1. Washington University St. Louis, Colon and Rectal Surgery, St. Louis, MO, USA

    Maggie L. Westfal & Matthew G. Mutch

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  1. Maggie L. Westfal
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Correspondence to Maggie L. Westfal .

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  1. Medical Center, University of Chicago, Chicago, IL, USA

    Konstantin Umanskiy

  2. Medical Center, University of Chicago, Chicago, IL, USA

    Neil Hyman

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Westfal, M.L., Mutch, M.G. (2023). Management of T1 Rectal Cancer. In: Umanskiy, K., Hyman, N. (eds) Difficult Decisions in Colorectal Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-031-42303-1_21

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