Cancer du rectum avec métastases synchrones non résécables : les arguments du choix thérapeutique Rectal cancer with synchronous unresectable metastases: arguments for therapeutic choice

Rectal cancers with synchronous unresectable metastases are diagnosed in about 4 000 patients. There is yet no consensus on the therapeutic strategy for these cases which must be discussed during multidisciplinary meeting. Three options are available and arguments of choice remain relatively weak. – First-line resection of the primary rectal tumour is indeed the best treatment to control rectal symptoms but it does not seem to improve survival and secondary resectability of metastases when compared to other options; moreover incomplete resection or complications may delay ❚ Resume