Conclusions
•
Ideally patients should be treated in specialist units
•
Imaging with CT and MRI ? PET
•
Advice re smoking
•
Limited local excisions
•
CRT with 5FU and MMC
•
IMRT better for toxicity and compliance
•
RT dose open
•
Can assess CCR up to 6 months
•
Need to explore immunotherapy
•
Surveillance an open question