Table 3.
Neoadjuvant treatment and surgical characteristics of the recurrent rectal tumor
| ReCRT [n = 35] | Long-course CRT [n = 25] | p value | |||
|---|---|---|---|---|---|
| ReCRT group | |||||
| 30.0/30.6 Gy without chemotherapy | 1 | (2.9) | |||
| 30.0/30.6 Gy with chemotherapy | 34 | (97.1) | |||
| Completed n(C)RT | 32 | (94.1) | |||
| Long-course CRT group | |||||
| 50.0/50.4 Gy with chemotherapy | 25 | (100.0) | |||
| Completed n(C)RT | 24 | (96.0) | |||
| cCR | |||||
| Yes | 1 | (2.9) | 5 | (20.0) | 0.029 |
| Partial | 20 | (57.1) | 13 | (52.0) | 0.69 |
| No | 12 | (34.3) | 7 | (28.0) | 0.61 |
| Tumor growth | 2 | (5.7) | – | 0.22 | |
| Type of resection | 0.24 | ||||
| LAR | – | 3 | (12.0) | 0.035 | |
| APR | 11 | (31.4) | 12 | (48.0) | 0.19 |
| Partial exenteration | 3 | (8.6) | – | 0.13 | |
| Total exenteration | 9 | (25.7) | 5 | (20.0) | 0.61 |
| ASR | 1 | (2.9) | 1 | (4.0) | 0.81 |
| Other (not organically bound) | 11 | (31.4) | 4 | (12.0) | 0.17 |
| IOBT | 0.046 | ||||
| No | 21 | (60.0) | 21 | (84.0) | |
| Yes | 14 | (40.0) | 4 | (16.0) | |
| Radicality of resection by PA | 0.11 | ||||
| R0 | 15 | (42.9) | 17 | (68.0) | 0.05 |
| R1 | 18 | (51.4) | 6 | (24.0) | 0.033 |
| R2 | – | 1 | (4.0) | 0.23 | |
| Irresectable | 2 | (5.7) | 1 | (4.0) | 0.76 |
| pCR | 0.66 | ||||
| Yes | 3 | (8.6) | 3 | (12.0) | |
| No | 32 | (91.4) | 22 | (88.0) | |
| Histology tumor at histopathological evaluation | 0.45 | ||||
| Adenocarcinoma | 30 | (85.7) | 22 | (88.0) | 0.80 |
| Mucinous | 2 | (5.7) | – | 0.22 | |
| No rest tumor (pCR) | 3 | (8.6) | 3 | (12.0) | 0.66 |
| Tumor differentiation grade | 0.029 | ||||
| Well | 8 | (22.9) | 9 | (36.0) | 0.27 |
| Well–moderately | 5 | (14.3) | 9 | (36.0) | 0.050 |
| Moderately | 15 | (42.9) | 1 | (4.0) | 0.001 |
| Poorly | 2 | (5.7) | 2 | (8.0) | 0.73 |
| Irresectable | 2 | (5.7) | 1 | (4.0) | 0.76 |
| pCR | 3 | (8.6) | 3 | (12.0) | 0.66 |
Data are expressed as n (%)
CRT chemoradiotherapy, n(C)RT neoadjuvant (chemo)radiotherapy, cCR clinical complete response, LAR low anterior resection, APR abdominoperineal reaction, ASR abdominosacral resection, IOBT intraoperative brachytherapy, PA pathology, R0 clear resection margins, R1 resection margin ≤1 mm, R2 macroscopic residual tumor, pCR pathological complete response