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Radiation
treatments given prior to surgery appear to significantly reduce
the risk of local recurrence and death from rectal cancer, according
to researchers at the Colorectal Cancer Collaborative Group.
Researchers
reported in The Lancet on their analysis of data from 8,507 patients
in 22 trials of radiotherapy treatment before or after rectal
cancer surgery.
Radiotherapy
is usually given before rectal cancer surgery in Scandinavia,
the Netherlands and other European countries but is often given
after surgery in the United Kingdom and North America.
"We found
there were about half as many local recurrences in those who had
preoperative radiotherapy compared to those who had surgery alone,"
said Richard Gray from the University of Birmingham in England
and co-author of the study.
"We
also found that fewer patients who had preoperative radiotherapy
died from rectal cancer than did those who had surgery alone (45
percent vs. 50 percent) but early deaths from other causes increased,"
he reported.
Other
Sources: The Lancet
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