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Suboptimal surgery:

only 10% underwent the advised D2 dissection; 54% < D1

Suboptimal radiotherapy:

34% had major radiation treatment plan deviation

Adjuvant chemoradiotherapy vs. surgery

SWOG-Intergroup 0116 Trial: comments

outdated radiation techniques; no data on late toxicity (kidney)

Suboptimal chemotherapy:

according to present standard, chemotherapy was suboptimal and

the interaction with radiation limited