Interdisciplinary Spanish consensus on a watch-and-wait approach for rectal cancer

• Maria Jose Safont ^[1] ; Roberto García-Figueiras ^[7] ; Ovidio Hernando-Requejo ^[8] ; Rosa Jimenez-Rodriguez ^[2] ; Jorge Lopez-Vicente ^[3] ; Isidro Machado ^[4] ; Juan-Ramon Ayuso ^[9] ; Marco Bustamante-Balén ^[10] ; M. Victoria De Torres-Olombrada ^[11] ; José Luis Domínguez Tristancho ^[5] ; Mª Jesús Fernández-Aceñero ^[12] ; Javier Suarez ^[6] ; Ruth Vera ^[6]
  1. [1] Hospital General Universitario de Valencia

     Hospital General Universitario de Valencia

     Valencia, España

     
  2. [2] Hospital Universitario Virgen del Rocío

     Hospital Universitario Virgen del Rocío

     Sevilla, España

     
  3. [3] Hospital de Móstoles

     Hospital de Móstoles

     Móstoles, España

     
  4. [4] Instituto Valenciano de Oncologia

     Instituto Valenciano de Oncologia

     Valencia, España

     
  5. [5] Fundación Jiménez Díaz

     Fundación Jiménez Díaz

     Madrid, España

     
  6. [6] Hospital Universitario de Navarra

     Hospital Universitario de Navarra

     Pamplona, España

     
  7. [7] Radiology Department, Hospital Clínico Universitario de Santiago de Compostela
  8. [8] Radiation Oncology Department, University Hospital HM Sanchinarro, Madrid
  9. [9] Radiology Department-CDI, Hospital Clinic, Barcelona
  10. [10] Gastrointestinal Endoscopy Unit, Hospital Universitari i Politècnic La Fe, Valencia
  11. [11] Radiotherapy Oncology Department, Hospital Universitario Fuenlabrada
  12. [12] Surgical Pathology Department, Hospital Clínico San Carlos, IdiSSC, Universidad Complutense de Madrid

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• Localización: Clinical & translational oncology, ISSN 1699-048X, Vol. 26, Nº. 4, 2024, págs. 825-835
• Idioma: inglés
• Texto completo no disponible (Saber más ...)
• Resumen

  • Watch-and-wait has emerged as a new strategy for the management of rectal cancer when a complete clinical response is achieved after neoadjuvant therapy. In an attempt to standardize this new clinical approach, initiated by the Spanish Cooperative Group for the Treatment of Digestive Tumors (TTD), and with the participation of the Spanish Association of Coloproctology (AECP), the Spanish Society of Pathology (SEAP), the Spanish Society of Gastrointestinal Endoscopy (SEED), the Spanish Society of Radiation Oncology (SEOR), and the Spanish Society of Medical Radiology (SERAM), we present herein a consensus on a watch-and-wait approach for the management of rectal cancer. We have focused on patient selection, the treatment schemes evaluated, the optimal timing for evaluating the clinical complete response, the oncologic outcomes after the implementation of this strategy, and a protocol for surveillance of these patients.