Radiation Therapy for Rectal Cancer
Publication Date: November 25, 2024
Last Updated: November 26, 2024
Recommendations for neoadjuvant RT indications
For patients with rectal cancer, pelvic MRI with a rectal cancer protocol is recommended for preoperative clinical T and N staging. ( Moderate , Strong )
608
Recommendations for neoadjuvant regimens
For patients with rectal cancer receiving neoadjuvant RT with conventional fractionation, 5000-5600 cGy in 25-31 fractions with concurrent capecitabine or continuous infusion 5-fluorouracil is recommended. (Moderate to high, Strong )
Implementation remark: A prescribed dose >5040 cGy is considered only for patients who may be candidates for future nonoperative management.
608
Title
Radiation Therapy for Rectal Cancer
Authoring Organization
American Society for Radiation Oncology