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Patients with middle or low rectal cancer who receive neoadjuvant chemoradiation and achieve complete clinical response while their pelvic MRI have split scar sign are included. Patients will have total mesorectal excision and pathologic complete response will be assessed
Patients with middle or low rectal cancer who have T3-4 and/ or N+ will be included. Patients will receive neoadjuvant chemoradiation in the form of pelvic irradiation by 50.4 thousands grays together with radio sensitization by 5-FU or oxaliplatin, 8 months after completion of neoadjuvant chemoradiation patients will be assessed clinically and radiologically. Complete clinical response is diagnosed if clinically no tumor is felt or just small scar and no tumor appears in MRI. Of these patients who achieve complete clinical response we will pick up cases who have split scar sign in the pelvic MRI. Patients will have total mesorectal excision 8-11 weeks after completion of neoadjuvant chemoradiation and pathologic complete response will be assessed. Correlation will be done between preoperative clinical response and postoperative pathologic response
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| total mesorectal excision | Procedure | excision of the rectum with complete excision of the mesorectum |
| Measure | Description | Time Frame |
|---|---|---|
| Complete pathologic response | disappearance of tumor from resected specimen | after surgical excision with follow up of an average of 1 year |
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Inclusion Criteria:
middle and low rectal cancer
Exclusion Criteria:
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locally advance middle and low rectal cancer
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Khaled Madbouly, MD, PhD | Contact | +2034802375 | khaled.madbouly@alexmed.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| Khaled Madbouly, MD, PhD | University of Alexandria | Principal Investigator |
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no approval yet from ethical committee to share data. Not written in patients' consent yet
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| ID | Term |
|---|---|
| D012004 | Rectal Neoplasms |
| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
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rectal cancer specimens
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |