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Rectal Cancer: Watch and Wait

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Abstract

The management of rectal cancer has become increasingly complex. In the 15–20% of patients who achieve a pathologic complete response to neoadjuvant chemoradiation therapy, long-term local and distant tumor control is excellent. Based on these excellent outcomes, interest has grown for an organ-preserving watch and wait approach with selective surgery for patients exhibiting clinical complete response. While there is encouraging emerging data, further validation through rigorous prospective trials is needed before a nonoperative strategy can be routinely offered.

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Correspondence to George J. Chang .

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© 2019 ASCRS (American Society of Colon and Rectal Surgeons)

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Chang, G.J. (2019). Rectal Cancer: Watch and Wait. In: Steele, S., Hull, T., Hyman, N., Maykel, J., Read, T., Whitlow, C. (eds) The ASCRS Manual of Colon and Rectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-01165-9_30

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  • DOI: https://doi.org/10.1007/978-3-030-01165-9_30

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-01164-2

  • Online ISBN: 978-3-030-01165-9

  • eBook Packages: MedicineMedicine (R0)

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