Rectal Cancer
Specialized treatment with multimodal approaches including radiation, chemotherapy, and surgery.
Overview
Rectal cancer treatment has evolved significantly, with many patients now receiving neoadjuvant (pre-surgical) chemotherapy and radiation to shrink tumors before surgery. Our team coordinates a multimodal approach that maximizes the chance of organ preservation when possible.
For some patients with complete clinical response to neoadjuvant therapy, a watch-and-wait approach may be considered, avoiding major surgery altogether.
Symptoms & Warning Signs
- Rectal bleeding or blood in stool
- Change in bowel habits
- Narrowing of stools
- Feeling of incomplete evacuation
- Pelvic pain or discomfort
Diagnosis & Evaluation
MRI of Pelvis
High-resolution staging of tumor depth and nodes
Colonoscopy & Biopsy
Tissue sampling and pathology
Molecular Testing
MSI, KRAS, BRAF
Treatment Options
Frequently Asked Questions
Why is treatment different from colon cancer?
Rectal cancer's proximity to the anal sphincter and other structures requires specialized radiation and surgical techniques to achieve the best cancer control while preserving function.
What is total neoadjuvant therapy?
TNT delivers all chemotherapy and radiation before surgery, which can improve outcomes and increase the chance of a complete pathologic response.
