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A 75-year-old morbid obese male diagnosed with a mriT3cN0 rectal cancer 4cm from the anal verge (no distant metastasis) underwent long course chemoradiation. Pelvic MRI on the 4th week of radiotherapy was compatible with fibrosis, there is a lesion from digital rectal examination, and the patient has doubts about radical surgery. What is your approach?
Posted in Debates on 18 June 2015

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