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Mesorectal nodes

§

Relationship to CRM

not

so important

§

Positive nodes within 1mm

of CRM not strong

predictor of local

recurrence

(vs. direct

tumour spread)

§

Main risk is 4 or more +ve

nodes (N2)

§

N1 (1-3 +ve)

Shihab et al Br J Surg 2010

<1mm