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Management of inguinal region (CMT)
• N negative
• ENI 36 Gy if
• T within 1 cm from a/m
• Invasion of anal margin
• Pelvic nodes involved
• N positive
• CMT 60 Gy
Salvage surgery
Note : delayed CR possible up to
4 months
if incomplete clinical response 16 weeks after
CRT
True cut biopsy
AP resection
well-trained team
Akbari. Dis Colon Rect 2004