In what situations do you recommend adjuvant radiotherapy for colon cancer?

It is appropriate to be cautious when considering the use of CXRT in patients with resected colon cancer. The main reason is that in the post-operative setting there is almost always fixed small bowel adherent to the tumor bed. For this reason, one may not be able to deliver a high enough dose to pr...

I agree with Chris. I favor adjunctive RT (preferably pre-operative) for T4 or compromised margin T3 colon cancers. The Martenson study did not track local control, so there may actually have been an undetected LC benefit. In treating colon cancer I do not attempt to cover an elective nodal volume, ...