Aggressive, curative intent treatment approaches in patients with local or regional relapse after resection of primary rectal or colon cancers are often not considered. A growing body of evidence supports an aggressive approach combining external beam irradiation (EBRT) ± chemotherapy, resection, and intraoperative irradiation (IORT) in conjunction with systemic chemotherapy. Data will be presented in this chapter summarizing disease control and survival results with IORT-containing regimens from US and European institutions including the impact of prognostic factors on results and the results in previously irradiated patients. IORT tolerance and future potential as a component of treatment will be discussed.
CITATION STYLE
Haddock, M. G., Nelson, H., Valentini, V., Gunderson, L. L., Willett, C. G., Rutten, H., … Garcia-Sabrido, J. L. (2011). Recurrent Colorectal Cancer. In Intraoperative Irradiation (pp. 323–351). Humana Press. https://doi.org/10.1007/978-1-61779-015-7_16
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