Jose G Guillem, MD, MPH, MBA
Multidisciplinary/Multimodality Management of Locally Recurrent Rectal Cancer
Despite advancements in multimodality therapy and optimal surgery for rectal cancer, approximately 10% of patients will experience a local failure. Expert management of a local recurrence is extremely important, as it directly impacts quality of life and survival. Approximately 50% of patients who recur are resectable. Those that undergo a complete resection do better than those that do not with a median disease-specific survival of 66 months versus 23 months for incomplete resections. The morbidity and mortality associated with a local recurrence can be reduced with an optimal multidisciplinary treatment approach, which includes the combined expertise of Colorectal Surgeons, Surgical Oncologists, Radiation Oncologists, Medical Oncologists, Urologist, Plastic Surgeons, Neurosurgeons, Imaging Specialists, Wound Ostomy-Continence Nurses (WOCN), Physical Therapists, Dietitians, and many others. Here at UNC Medical Center, we have an established team of experts that work together to carefully review each individual patient during our Weekly GI Tumor Board and collaboratively develop a treatment plan which defines the specific timing and sequence of care for each patient. The Colorectal Surgeons at UNC work closely with UNC Lineberger’s GI Oncology Program to ensure that patients receive the most advanced multi-specialty care.
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