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Combined therapy

Aumock:

- 199 patients with local rectal cancer

- 77 cases staged by ERUS

- Contact therapy alone (n=21) or preceded by EBRT (45Gy/1,8Gy) (n=178)

- 71 % local control (141 patients)

- Significant factors for control:

Aumock et al. Int J Radiat Oncol;51(2):363–70.

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Mobility on palpation

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Use of EBRT

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Pretreatment debulking

- LC 100% if uT1, 85% freely mobile

uT2, 56% uT3 and immobile uT2

Excellent results for small tumors

Reasonable results for larger tumors