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      Strategies to Optimize Treatment for Locally Advanced Rectal Cancer.

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          Abstract

          Neoadjuvant long-course concurrent chemoradiation plus surgery, followed by optional adjuvant chemotherapy, is a standard of care for locally advanced rectal cancer (LARC). However, this traditional approach has several limitations, including low pathological complete response (pCR) (10-25%), high metastasis rate (30-35%), and highly inconsistent compliance with adjuvant chemotherapy (25-75%). Treatment modalities for LARC have dramatically evolved in recent years. Multiple clinical trials have focused on optimizing strategies to achieve a win-win situation for oncologic outcomes and functions. Here, we review the latest studies into optimizing neoadjuvant treatment for LARC.

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          Author and article information

          Journal
          Cancers (Basel)
          Cancers
          MDPI AG
          2072-6694
          2072-6694
          Dec 29 2022
          : 15
          : 1
          Affiliations
          [1 ] Department of Oncology, Renmin Hospital of Wuhan University, Wuhan 430064, China.
          [2 ] Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University, Shandong Academy of Medical Science, Jinan 250117, China.
          Article
          cancers15010219
          10.3390/cancers15010219
          9818694
          36612213
          06e86f55-41b1-4e0a-b93d-677f78297cf6
          History

          SCRT,TNT,immunotherapy,radiation therapy,LARC
          SCRT, TNT, immunotherapy, radiation therapy, LARC

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