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

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), a...

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Bibliographic Details
Published in:Clinical & translational oncology 2024-04, Vol.26 (4), p.825-835
Main Authors: Safont, Maria Jose, García-Figueiras, Roberto, Hernando-Requejo, Ovidio, Jimenez-Rodriguez, Rosa, Lopez-Vicente, Jorge, Machado, Isidro, Ayuso, Juan-Ramon, Bustamante-Balén, Marco, De Torres-Olombrada, M. Victoria, Domínguez Tristancho, José Luis, Fernández-Aceñero, Mª Jesús, Suarez, Javier, Vera, Ruth
Format: Article
Language:English
Subjects:
Medicine
Medicine & Public Health
Oncology
Special Article
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Summary: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.
ISSN:1699-3055
1699-3055
DOI:10.1007/s12094-023-03322-2