351 / 815
Management – localised
•
Surgery
Tumour within 5cm (lower) from anal verge
Total mesorectal excision (TME) + abdomino-perineal
resection (APR) + permanent colostomy
Tumour 5-15cm (mid-upper) from anal verge
TME + anterior resection (no permanent stoma)
•
Pre-operative RT+/- chemotherapy if
↑
risk
of local recurrence