T1,T2 cancer of low rectum
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Primary rectal cancer located within lower rectum 2. Clinical T1 or T2, N0, M0 3. Tumor size within 3cm, and possible to be curative local excision 4. Without severe complications. PS(ECOG) of 0 or 1 5. Pathological proven well or moderately adenocarcinoma 6. First treatment of rectal cancer 7. Without synchronous or metachronous ( within 5 years ) malignancies 8. written informed consent 9. Aged 20 to 75 years old. Pathological proven well or moderately adenocarcinoma in resected specimen 10. Depth of sm-massive invasion, or with lymphatic or venous vessels invasion, or depth of mp invasion 11. Pathological negative surgical margins in resected specimen 12. Enough organ functions i. WBC count : >=3000/mm3 ii. Platelet count : >=100,000/mm3 iii. T-Bil : <=1.5mg/dl iv. AST/ALT : <=100IU/l v. Cr : <=1.5mg/dl Normal ECG
Exclusion criteria
Exclusion criteria: 1. Pathological proven poorly or mucinous adenocarcinoma by biopsy 2. Clinical N positive 3. Distant metastasis 4. PS (ECOG) 2, 3, and 4 5. Without written informed consent 6. Pathological proven poorly or mucinous adenocarcinoma in resected specimen 7. Pathological positive surgical margins in resected specimen 8. Depth of m invasion, or sm-minute invasion without vessels invasion 9. Bone marrow dysfunction 10. Be certain or suspicious pregnant 11. Precious radiotherapy in abdomino-pelvic area 12. Unsuitable patients for this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Disease free survival at five years | — |
Secondary
| Measure | Time frame |
|---|---|
| Overall survival at five years Local relapse-free survival Salvage treatment and prognosis Adverse events in chemoradiotherapy | — |
Countries
Japan
Contacts
National Cancer Center Hospital East Colorectal and Pelvic Surgery