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. 2020 Jul 6;24:92–98. doi: 10.1016/j.ctro.2020.07.001

Table 1.

Tumour response classification DRE: digital rectal examination; cCR: clinical complete response; PR: partial response; SD: stable disease; TRG: tumor regression grade.

cCR Near cCR PR or SD
DRE –No palpable Tumor -Palpable hard sessile tumor
-Rectal wall supple -Rectal wall: firm -Rectal wall:
Hard induration
–No ulceration -Ulceration: superficial, smooth edge, regular fundus -Ulceration:
Irregular/deep
–No nodularity -Nodularity:
Small-supple/firm
-Nodularity: hard or firm
Endoscopy –No visible tumor and normal appearance of mucosa. -Visible malignant tumor
Rigid rectoscopy
Flexible colonoscopy or sigmoidoscopy -Scar appearance
-White scar
-Radiation Erythematous mucositis
-Small radiation Inflammatory vessels
-Ulceration: irregular and deep
MRI TRG1 TRG2 TRG 3–4-5