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17-Week Delay Surgery after Chemoradiation in Rectal Cancer with Complete Pathological Response

dc.contributor.authorSantos, M.
dc.contributor.authorGomes, M.
dc.contributor.authorMoreno, F.
dc.contributor.authorRocha, A.
dc.contributor.authorLopes, C.
dc.date.accessioned2016-08-01T09:18:32Z
dc.date.available2016-08-01T09:18:32Z
dc.date.issued2015
dc.description.abstractNeoadjuvant chemoradiation (CRT) followed by curative surgery still remains the standard of care for locally advanced rectal cancer (LARC). The main purpose of this multimodal treatment is to achieve a complete pathological tumor response (ypCR), with better survival. The surgery delay after CRT completion seems to increase tumor response and ypCR rate. Usually, time intervals range from 8 to 12 weeks, but the maximum tumor regression may not be seen in rectal adenocarcinomas until several months after CRT. About this issue, we report a case of a 52-year-old man with LARC treated with neoadjuvant CRT who developed, one month after RT completion, an acute myocardial infarction. The need to increase the interval between CRT and surgery for 17 weeks allowed a curative surgery without morbidity and an unexpected complete tumor response in the resected specimen (given the parameters presented in pelvic magnetic resonance imaging (MRI) performed 11 weeks after radiotherapy completion).pt_PT
dc.identifier.citationCase Rep Surg. 2015;2015:816491pt_PT
dc.identifier.doi10.1155/2015/816491pt_PT
dc.identifier.issn2090-6919
dc.identifier.urihttp://hdl.handle.net/10400.16/1983
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherHindawi Publishing Corporationpt_PT
dc.relation.publisherversionhttp://www.hindawi.com/journals/cris/2015/816491/pt_PT
dc.title17-Week Delay Surgery after Chemoradiation in Rectal Cancer with Complete Pathological Responsept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited States of Americapt_PT
oaire.citation.startPage816491pt_PT
oaire.citation.titleCase Reports in Surgerypt_PT
oaire.citation.volume2015pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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