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- W4200544723 abstract "Recently, two large, randomised phase III clinical trials of total neoadjuvant therapy (TNT) in locally advanced rectal cancer were published (RAPIDO and PRODIGE 23). These two trials compared short-course radiotherapy (SCRT) followed by chemotherapy with standard chemoradiotherapy (CRT) and chemotherapy followed by CRT with standard CRT, respectively. They showed improvement in some of the outcomes such as distant recurrence and pathological complete response (pCR). No improvement, however, was observed in local disease control or the de-escalation of surgical procedures. Although it seems lawful to integrate TNT within the treatment algorithm of localised stage II and III rectal cancer, many questions remain unanswered, including which are the optimal criteria to identify patients who are most likely to benefit from this intensive treatment. Instead of providing a sterile summary of trial results, we put these in perspective in a pros and cons manner. Moreover, we discuss some biological aspects of rectal cancer, which may provide some insights into the current decision-making process, and represent the basis for the future development of alternative, more effective treatment strategies." @default.
- W4200544723 created "2021-12-31" @default.
- W4200544723 creator A5038006570 @default.
- W4200544723 creator A5079301374 @default.
- W4200544723 creator A5089985827 @default.
- W4200544723 date "2021-12-18" @default.
- W4200544723 modified "2023-09-25" @default.
- W4200544723 title "Debating Pros and Cons of Total Neoadjuvant Therapy in Rectal Cancer" @default.
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- W4200544723 doi "https://doi.org/10.3390/cancers13246361" @default.
- W4200544723 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/34944980" @default.
- W4200544723 hasPublicationYear "2021" @default.
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