[Impact of IMRT for neoadjuvant rectal cancer?]

Cancer Radiother. 2022 Oct;26(6-7):865-870. doi: 10.1016/j.canrad.2022.06.001. Epub 2022 Sep 5.
[Article in French]

Abstract

The standard management of locally advanced rectal tumors as cT3-T4 and/or N0/N1 is based on preoperative treatment combining radiotherapy of 45 to 50Gy and chemotherapy based on 5-fluorouracil. Intensity-modulated radiotherapy has already shown its interest compared to conformal radiotherapy in other locations, like in pelvic cancer. The role of intensity-modulated radiotherapy in the pre/postoperative treatment of rectal cancers is not a standard of care. Published studies showed its feasibility with the objective of less toxicity with equivalent efficacy.

Keywords: Efficacité; Efficacy; IMRT; RCMI; Rectal cancer; Rectum; Toxicity; Toxicité.

Publication types

  • Review

MeSH terms

  • Fluorouracil / therapeutic use
  • Humans
  • Neoadjuvant Therapy
  • Radiotherapy, Conformal*
  • Radiotherapy, Intensity-Modulated*
  • Rectal Neoplasms* / pathology

Substances

  • Fluorouracil