علاج سرطان الشرج عند عدم تحقيق العلاج الكيميائي الإشعاعي النهائي للاستجابة الكاملة

References

DOI: 10.1016/j.annonc.2021.06.015

• Stage II-III anal margin
• Stage I-III anal canal
• If disease progression occurs, salvage surgery is recommended.
• The mainstay of salvage is an extra-levator APE.
• The mainstay of salvage surgery is an APE, but more radical exenterative operations can be considered to achieve an R0 resection [III, C].
• Perineal plastic reconstruction with musculo-cutaneous flaps should be considered in almost all cases [IV, C].