Conclusion Pelvic Radiotherapy for Rectal Cancer

There is no doubt that the addition of (chemo)radia-tion increases the risk of fecal incontinence and other sequelae. On the other hand, this treatment modality decreases the risk of local recurrence and may also increase survival [11]. Further studies are needed to clarify which rectal cancer patient needs neoadjuvant therapy and how functional outcome can be improved by improving the quality of both radiotherapy and surgery. Hopefully, in the future, we will have much more specific methods to select patients who will benefit from neoadjuvant therapy and identify patients with the highest risk of functional problems.

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