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ESTRO IG and Adaptive

Course Parikh Budapest 2018

SCRT + Chemo Trial

Rationale:

SCRT with delayed surgery can induce similar tumor

response/downstaging to CRT

Adding ‘stronger’ chemo to chemoradiation doesn’t help (negative trials

with incorporation of oxaliplatin)

Move standard multi-drug chemotherapy from adjuvant to

neoadjuvant setting

Treat micro-metastatic disease earlier

Compliance

Downstaging effect