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Suboptimal surgery:
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only 10% underwent the advised D2 dissection; 54% < D1
Suboptimal radiotherapy:
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34% had major radiation treatment plan deviation
Adjuvant chemoradiotherapy vs. surgery
SWOG-Intergroup 0116 Trial: comments
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outdated radiation techniques; no data on late toxicity (kidney)
Suboptimal chemotherapy:
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according to present standard, chemotherapy was suboptimal and
the interaction with radiation limited