When is local excision indicated in the treatment of rectal cancer?

Updated: Apr 06, 2021
  • Author: Burt Cagir, MD, FACS; Chief Editor: N Joseph Espat, MD, MS, FACS  more...
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Answer

Patients with the following may be candidates for local excision:

  • Lesions located in low rectum (within 8-10 cm)
  • Lesions occupying less than one third of the rectal circumference
  • Mobile exophitic or polypoid lesions
  • Lesions less than 3 cm in size
  • T1 lesions
  • Low-grade tumor (well or moderately differentiated)
  • Negative nodal status (clinical and radiographic)

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