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Preoperative chemoRT or RT alone?

EORTC 22921

(1)

and FFCD 9203

(2)

: preoperative 5-FU

chemoRT superior over RT alone with respect to

pCR and LC, but no difference in:

Overall survival

Rate of sphincter sparing surgery

Occurrence of distant metastases

(1) Bosset et al., N Engl J Med 2006

(2) Gérard et al., J Clin Oncol 2006

4

Bosset et al, Lancet Oncol 2014