[Preoperative treatments of rectal cancers]

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Bosset, Jean-François | Nguyen, F. | Bosset, M. | Servagi-Vernat, S. | Sedrati, A. | Lorgis, V.

Edité par CCSD ; Elsevier Masson -

International audience. Surgery alone is no longer appropriate to the treatment of T3-T4 resecable rectal cancer. Preoperative chemoradiotherapy has recently been approved as the new standard treatment. This approach improves local control with local failure rate raranging now around 6-8%. However, it does not impact on overall survival. It becomes urgent to develop new concepts and a basic research in the understanding of the biological mechanisms that may explain the resistance of the micrometastatic process.

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