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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