Nina Niu Sanford: Rectal cancer 101 video
Nina Niu Sanford, Assistant Professor and Chief of Gastrointestinal Radiation Oncology at Harvard/Brigham and Women’s Hospital/Massachusetts General Hospital, shared a thread on X:
“Rectal cancer 101 video!
I’m making GI onc disease subsite videos.
Figured was giving same lecture over & over to residents on my service, now recording so can watch pre-rotation & hit the ground running. Other subsites forthcoming.
Full YouTube video and slides in replies.
Here is the full video. Ended up being ~19 minutes.
First slide is on diagnosis.
A rectal cancer protocol MRI is critical, and here are the key features that help determine management. We use rectal gel which can help delineate intraluminal tumor.
I break up locally advanced rectal cancer into “lower risk” & “high risk.” Here is lower risk.
Most patients getting surgery do not need RT (can get upfront surg or chemotherapy). But if organ preservation intent, go with chemoRT.
The studies you should know are in red.
Now for higher risk tumors (see slide for what makes higher risk).
The SOC is TNT with long course chemoRT and chemotherapy. I still DO think there is a role for short course though, and I explain the scenarios.”
Early-stage rectal cancer is here: T1-2, N0. I had some space so included some non-relevant photos from my recent trip to UK – Hampstead Heath, warm beer and a gorgeous home library.
Some pearls on:
1) organ preservation,
2) limited M1 disease, and
3) dMMR rectal cancer.
Lastly, radiation oncology specifics – SIM, targets volumes, planning.
Hope this is helpful, any feedback always welcome!!!
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