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Page Background

Anal Cancer : the importance of nodal

metastasis

Das et al ( 2007 ) : 167 patients treated with CRT

3 yr locoregional control 3 yr distant control

N0 85 % 94 %

N1 88 % 79 %

N2 84 % 75 %

N3 39 % 76 %

N stage an independent predictor of loco-regional failure, distant

metastasis and OS on multivariate analysis !

Ajani et al ( 2010 ) : RTOG 98-11 trial

Clinically positive nodes associated with worse 5 yr DFS and 5 yr OS ( p <

0.0001 )