A review of preoperative chemoradiotherapy for lower rectal cancer

In Western countries, rectal cancer has been treated by chemoradiotherapy (CRT) for several decades now, and good local control has been reported. However, Japanese guidelines did not strongly recommend CRT, because CRT is only useful for achieving local control and imbues no survival benefit. For t...

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Main Authors: Naohito Beppu, Hidenori Yanagi, Naohiro Tomita
Format: Article
Language:English
Published: The Japan Society of Coloproctology 2017-07-01
Series:Journal of the Anus, Rectum and Colon
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/jarc/1/3/1_2017-013/_pdf/-char/en
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author Naohito Beppu
Hidenori Yanagi
Naohiro Tomita
author_facet Naohito Beppu
Hidenori Yanagi
Naohiro Tomita
author_sort Naohito Beppu
collection DOAJ
description In Western countries, rectal cancer has been treated by chemoradiotherapy (CRT) for several decades now, and good local control has been reported. However, Japanese guidelines did not strongly recommend CRT, because CRT is only useful for achieving local control and imbues no survival benefit. For this reason, CRT was rarely used to treat rectal cancer in Japan. However, in the 2000s, several studies involving CRT began to be reported from Western countries, such as “correlation between pathological complete response and survival,” “induction chemotherapy followed by CRT,” and “watch-and-wait policies.” These studies were directly correlated with survival of and benefits to the patients. Given these findings, Japanese institutions have recently begun to introduce CRT for rectal cancer. Therefore, in the present study, we reviewed several topics regarding CRT for rectal cancer.
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spelling doaj.art-ab49f3aa426f4f638b6ad6a95903636a2022-12-21T23:35:55ZengThe Japan Society of ColoproctologyJournal of the Anus, Rectum and Colon2432-38532017-07-0113657310.23922/jarc.2017-0132017-013A review of preoperative chemoradiotherapy for lower rectal cancerNaohito Beppu0Hidenori Yanagi1Naohiro Tomita2Department of Surgery, Meiwa Hospital NishinomiyaDepartment of Surgery, Meiwa Hospital NishinomiyaDivision of Lower Gastrointestinal Surgery, Department of Surgery, Hyogo College of MedicineIn Western countries, rectal cancer has been treated by chemoradiotherapy (CRT) for several decades now, and good local control has been reported. However, Japanese guidelines did not strongly recommend CRT, because CRT is only useful for achieving local control and imbues no survival benefit. For this reason, CRT was rarely used to treat rectal cancer in Japan. However, in the 2000s, several studies involving CRT began to be reported from Western countries, such as “correlation between pathological complete response and survival,” “induction chemotherapy followed by CRT,” and “watch-and-wait policies.” These studies were directly correlated with survival of and benefits to the patients. Given these findings, Japanese institutions have recently begun to introduce CRT for rectal cancer. Therefore, in the present study, we reviewed several topics regarding CRT for rectal cancer.https://www.jstage.jst.go.jp/article/jarc/1/3/1_2017-013/_pdf/-char/enrectal cancerchemoradiotherapyradiosensitizeradjuvant chemotherapylateral lymph node dissection
spellingShingle Naohito Beppu
Hidenori Yanagi
Naohiro Tomita
A review of preoperative chemoradiotherapy for lower rectal cancer
Journal of the Anus, Rectum and Colon
rectal cancer
chemoradiotherapy
radiosensitizer
adjuvant chemotherapy
lateral lymph node dissection
title A review of preoperative chemoradiotherapy for lower rectal cancer
title_full A review of preoperative chemoradiotherapy for lower rectal cancer
title_fullStr A review of preoperative chemoradiotherapy for lower rectal cancer
title_full_unstemmed A review of preoperative chemoradiotherapy for lower rectal cancer
title_short A review of preoperative chemoradiotherapy for lower rectal cancer
title_sort review of preoperative chemoradiotherapy for lower rectal cancer
topic rectal cancer
chemoradiotherapy
radiosensitizer
adjuvant chemotherapy
lateral lymph node dissection
url https://www.jstage.jst.go.jp/article/jarc/1/3/1_2017-013/_pdf/-char/en
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