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Clinical Practice Guidelines in Oncology – v.3.2005
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Rectal
Cancer
Version 3.2005
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Rectal Cancer
Version 3.2005, 03/30/05 © 2005 National Comprehensive Cancer Network, Inc. All rights reserved. These guidelines and this illustration may not be reproduced in any form without the express written permission of NCCN.
NCCN® Practice Guidelines
in Oncology – v.3.2005
Guidelines Index
Rectal Cancer Table of Contents
Staging, MS, References
NCCN Rectal Cancer Panel Members
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Sujata Rao, MDFred Hutchinson Cancer ResearchCenter/Seattle Cancer Care Alliance
M. Wasif Saif, MDUniversity of Alabama atBirmingham ComprehensiveCancer Center
Leonard Saltz, MDMemorial Sloan-Kettering Cancer Center
John M. Skibber, MDThe University of Texas M. D.Anderson Cancer Center
Alan P. Venook, MDUCSF Comprehensive Cancer Center
Timothy J. Yeatman, MDH. Lee Moffitt Cancer Center &Research Institute at the Universityof South Florida
Marwan Fakih, MDRoswell Park Cancer Institute
Charles Fuchs, MDDana-Farber/Partners CancerCare
Krystyna Kiel, MDRobert H. Lurie Comprehensive Cancer
Center of Northwestern University
James A. Knol, MDUniversity of Michigan ComprehensiveCancer Center
Lucille A. Leong, MDCity of Hope Cancer Center
Kirk A. Ludwig, MDDuke Comprehensive Cancer Center
Edward W. Martin, Jr., MDArthur G. James Cancer Hospital &Richard J. Solove Research Institute atThe Ohio State University
*Writing Committee Member
Paul F. Engstrom, MD/Chair Fox Chase Cancer Center
Comprehensive Cancer Center at
Al B. Benson, III, MDRobert H. Lurie ComprehensiveCancer Center of NorthwesternUniversity
Yi-Jen Chen, MD, PhDCity of Hope Cancer Center
Michael A. Choti, MDThe Sidney Kimmel
Johns Hopkins
Raza A. Dilawari, MD
St. Jude Children's ResearchHospital/University of TennesseeCancer Institute
Charles A. Enke, MDUNMC Eppley Cancer Center atThe Nebraska Medical Center
*
*
**
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Rectal Cancer
Version 3.2005, 03/30/05 © 2005 National Comprehensive Cancer Network, Inc. All rights reserved. These guidelines and this illustration may not be reproduced in any form without the express written permission of NCCN.
NCCN® Practice Guidelines
in Oncology – v.3.2005
Guidelines Index
Rectal Cancer Table of Contents
Staging, MS, References
Table of Contents
Clinical Presentations:
NCCN Rectal Cancer Panel Members
Rectal Lesion, Workup and Clinical Staging (REC-1)
T3, N0 or T any, N1-2: Primary and Adjuvant Treatment,
Surveillance (REC-3)Rectal Lesion, T4:
T any, N any, M1: Resectable Metastatases
Treatment and Surveillance (REC-4)
Recurrence and Workup (REC-6)Postoperative CEA Elevation (REC-6)
Principles of Surgery (REC-A)
Principles of Adjuvant Therapy (REC-B)
Principles of Radiation Therapy (REC-C)
Chemotherapy for Advanced or Metastatic Disease (REC-D)
T1-2, N0: Primary and Adjuvant Treatment, Surveillance (REC-2)
Treatment and Surveillance (REC-3)
·
·
·
·
· T any, N any, M1: Unresectable Metastatases
Treatment (REC-5)
These guidelines are a statement of consensus of the authors regarding their views of currently accepted approaches to treatment. Any clinicianseeking to apply or consult these guidelines is expected to use independent medical judgment in the context of individual clinical circumstances todetermine any patient's care or treatment. The National Comprehensive Cancer Network makes no representations nor warranties of any kindwhatsoever regarding their content, use, or application and disclaims any responsibility for their application or use in any way. These guidelines arecopyrighted by National Comprehensive Cancer Network. All rights reserved. These guidelines and the illustrations herein may not be reproduced inany form without the express written permission of NCCN. ©2005.
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Staging
Manuscript
References
Clinical Trials:
Categories of Consensus:NCCN
Thebelieves that the best managementfor any cancer patient is in a clinicaltrial. Participation in clinical trials isespecially encouraged.
To find clinical trials online at NCCNmember institutions,
All recommendations are Category2A unless otherwise specified.
See
NCCN
click here:nccn.org/clinical_trials/physician.html
NCCN Categories of Consensus
Guidelines Index
Print the Rectal Cancer Guideline
Order the Patient Version of the Rectal Cancer Guideline
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