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REVIEWS  COLON AND RECTAL SURGERY 

Minerva Chirurgica 2010 April;65(2):161-71

Copyright © 2010 EDIZIONI MINERVA MEDICA

language: English

Intraoperative radiotherapy and colorectal cancer

Yeung J. M. C. 1, Ngan S. 2, Lynch C. 1, Heriot A. G. 1

1 Department of Surgical Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia 2 Department of Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia


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Intraoperative radiotherapy (IORT) is a highly specialized component of multidisciplinary management of advanced and recurrent colorectal cancer. The aim of this review was to assess its role and effectiveness in the management of colorectal cancer. A literature search was performed using Medline, Embase, Ovid and Cochrane to identify English language studies which have used IORT in the multidisciplinary management of primary and recurrent colon and rectal cancers. Improved survival and local control in patients with involved surgical margins treated with IORT have been shown in many studies, but these results have been mainly from retrospective studies. There is associated morbidity from IORT. IORT does have a role in the management of colorectal cancer. Further research needs to be performed to optimize the application of this therapy.

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