Abstract

Neoadjuvant chemoradiotherapy followed by total mesorectal excision is the standard treatment in locally advanced rectal cancer (LARC) (stages II T3/T4N0 y III T N1/N2). It aims at reducing the risk of distant recurrence while pelvic radiotherapy focuses on the prevention of local recurrence. The use of advanced techniques such as Intensity-Modulated Radiotherapy (IMRT) based on multileaf collimator (MLC) allows higher doses to be delivered to the tumor volume, taking into account the tolerance dose in the organs at risk.

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