PPT-Radiation Therapy for Rectal Cancer: An ASTRO Clinical Practice Guideline

Developed in collaboration with the American Society for Clinical Oncology and Society of Surgical Oncology Endorsed by the American College of Radiology Canadian Association of Radiation Oncology European Society for Radiotherapy and Oncology . Dr . Sushmita. . Pathy. Associate Professor. Department of Radiation Oncology. Dr BRA Institute Rotary Cancer Hospital. All India Institute Of Medical Sciences. New Delhi INDIA. Dr. . Sushmita. . Bradley . Burton, . PharmD. , BCOP, . CACP. September 13, 2014. 1. Disclosure. No personal or financial disclosures to report. This continuing education activity contains discussion of published and/or investigational uses that are not indicated by the FDA. Please refer to the official prescribing information for each product for discussion of approved indication, contraindications, and warnings.. Radiation Therapy (R/T) For Cancer. About 99% of patients treated with Radiation Therapy (R/T) have malignancies. Approximately 60% of patients with cancer require Radiation Therapy. About 60% get R/T with the aim to cure. 9/12/16. Incidence. Fourth most frequently diagnosed cancer in US. Second leading cause of death in US. 2016 estimates 39,220 new cases rectal ca in us (23k men, 16k women). Overall decrease of about 4% per year from 2008-2011. By. Dr. Amr A. . Abd-Elghany. Introduction to Radiation Oncology. Radiation has been an effective tool for treating cancer for more than 100 years. .. Radiation oncologists are doctors trained to use radiation to eradicate cancer. Nasus Larynx xxx (2017) xxx G. uidelines . fo. r the treatment . of advanced colon and rectal cancers. 1. NCCN Clinical Practice Guideline in Oncology. Rectal Cancer. , Version 1.2020; . 2. NCCN Clinical Practice Guideline in Oncology. Colon Cancer. surgical resection versus organ preservation. Dr Jessica Jenkins. Consultant Oncologist. Background. The largest proportion of colorectal cancer cases occur in the rectum.. Each year in UK; over 8500 patients are diagnosed with Rectal Cancer.. The cell life cycle The cell cycle G0 = Cell is resting G1 = RNA and proteins are made S = DNA is made G2 = Apparatus for mitosis is built M = Mitosis (the cell divides into 2 cells) G0 phase (restin 1 : ● Tumor size ● Margin status ● L ymph node status if lymph node surgery performed ● Rule out invasive component ● Nuclear grade ● Histologic type / necrosis ● Estrogen recept Introduction . The morbidity associated with non surgical treatment of cancer is significant.. It affects the quality of life of the patient.. Sometimes the complications are so severe that treatment needs to be interrupted that leads to compromised prognosis and increased health care cost.. This presentation can be used either as a complete in-service or as a practical follow-up session following staff completing the ‘Understanding radiation oncology’ rapid learning.. If using as a complete in-service start from slide 2.. . TNT. SIMPLIFIED STAGING. STAGE I NO LYMPH NODE, SMALL TUMOR. STAGE II NO LYMPH NODE, INVADES SUBSEROSA. STAGE III LYMPH NODES with cancer. STAGE IV Distant METASTASIS. FOCUS FOR TODAY IS STAGE II AND III RECTAL CANCER. Practice Guideline . Developed in collaboration with the American Society of Clinical Oncology and the Musculoskeletal Tumor Society. Endorsed by the Canadian Society of Radiation Oncology, European Society for Radiotherapy and Oncology, the Royal Australian and New Zealand College of Radiologists, and Musculoskeletal Tumor Society.