[Locoregional recurrent rectal cancer: the place of radiotherapy].
Currently, locoregional recurrence of rectal cancer is rare due to the therapeutic progress of total mesorectal excision and pre-operative radiotherapy. Nevertheless, a curative treatment could be proposed provided that surgical removal is possible and complete. Here, we will discuss the position of both external and intra-operative radiotherapy, and concomitant chemotherapy. Actually, multimodal therapy provides the best results for local control and overall survival. Exclusive external radiotherapy is indicated for palliative treatment of unresectable cases of recurrence.
Lorchel
Fabrice
F
Service de radiothérapie, CHU Jean-Minjoz, Besançon. florchel@chu-besancon.fr
Créhange
Gilles
G
Dumas
Jean-Luc
JL
Chaigneau
Loïc
L
Servagi
Stéphanie
S
Bosset
Jean-François
JF
D015179:Colorectal Neoplasms / Q000188:drug therapy / Q000532:radiotherapy; D003131:Combined Modality Therapy; D004064:Digestive System / Q000528:radiation effects; D006801:Humans; D011832:Radiation Injuries / Q000209:etiology; D012004:Rectal Neoplasms / Q000188:drug therapy / Q000532:radiotherapy*