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The Royal Marsden

Objectives of trial

– recruit patients and stratify treatment using

mrTRG directed management. The ‘good

responders’ (mrTRG1&2) often have no evidence of

tumour and it may be possible to avoid surgery in

this group (deferral of surgery).

– The ‘poor responders’ (mrTRG3-5) are at high risk

of poor oncological outcomes and additional

therapy before surgery may improve prognosis.