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Conclusions

1. 5FU-based CRT (45-50Gy) more effective

(downsizing) than RT but no improvement

in SpS, DFS or OS

2. Capecitabine is an equivalent option

3. Watch and wait remains experimental

4. Radio-sensitizing 5FU-based CRT not

improved by additional oxaliplatin ?

5. Biologicals have not yet delivered

6. Postop adjuvant chemotherapy after SCPRT

or CRT remains of unproven benefit