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Pre-operative CT or RT-CT?

Swedish randomized trial

3 cycles of Cisplatin/5FU

±

Radiotherapy: 40 Gy

CT RT-CT

N pts

91

90

90-day mortality (%)

3 8 0.12

Post-op complications (%) 35 38 0.28

pCR (%)

9 28 0.002

R0 resection (%)

74 87 0.042

pN1

62 35 0.001

Klevebro, Ann Oncol, 2016, 27: 660-667

Overall survival

On Going trials:

- Irish neo-AGIS: MAGIC vs CROSS

- Japan