7
Table 7. Rectal Cancer Stage I– clinical stage T2 N0
Population Intervention Setting
Patients with
nonmetastatic cT2N0
rectal cancer
General surgeons should perform surgery
following TME principles.
(Strong Recommendation; H)
Basic and
Limited
Patients with
nonmetastatic cT2N0
rectal cancer
Surgical oncologists and/or colorectal surgeons
should perform TME following standard
oncologic principles.
(Strong Recommendation; H)
Enhanced
Patients with
nonmetastatic cT2N0
rectal cancer
Surgical oncologists and/or colorectal surgeons
should perform TME following standard
oncologic principles, using the most advanced
techniques. (Strong Recommendation; H)
Maximal
Table 8. Rectal Cancer Stage IIA– clinical stage T3 N0
Population Intervention Setting
Patients with clinically
resectable cT3N0
rectal cancer
If TME is feasible, general surgeons should
perform surgery following TME principles.
(Moderate Recommendation; I)
Basic and
Limited
Patients with clinically
resectable cT3N0
rectal cancer
If surgery following TME principles is not
feasible, then clinicians should transfer
patients to a higher capacity facility. (Moderate
Recommendation; IC-I)
Basic and
Limited
Patients with clinically
resectable cT3N0
rectal cancer at high
risk who did not
receive neoadjuvant
treatment
Surgeons or oncologists may offer basic adjuvant
therapy; limited chemotherapy may be offered.
(Moderate Recommendation; I)
Basic
Patients with clinically
resectable cT3N0
rectal cancer at high
risk who did not
receive neoadjuvant
treatment
Surgeons or oncologists may offer basic adjuvant
chemotherapy; radiation therapy may be offered
in addition to chemotherapy, if available.
(Moderate Recommendation; I)
Limited
Patients with clinically
resectable cT3N0
rectal cancer where
there is no indication
on MRI that surgery is
likely to be associated
with either an R2 or
an R1 resection
Surgical oncologists and/or colorectal surgeons
should perform TME following standard
oncologic principles and, in Maximal settings,
using the most advanced techniques. (Strong
Recommendation; H)
Enhanced
and
Maximal
