Abstract

Introduction: The ACT-II trial confirmed mitomycin C with 5-FU as the standard of care for anal cancer when combined with conventionally planned radiotherapy. Capecitabine is widely used as an oral alternative to 5-FU in gastrointestinal cancer with encouraging preliminary results for anal cancer. Modern radiotherapy techniques allow greater dose shaping than with fields selected on the basis of macroscopic disease and bony anatomy. We sought to assess the toxicity and efficacy of a new regime using mitomycin C with capecitabine and conformally planned radiotherapy.

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