08/05/2026
Low re**al cancer poses a critical balance—achieving oncologic clearance while preserving sphincter function.
🔬 Our review explores the complexities of managing positive doughnut margins following neoadjuvant chemoradiation (NACRT). Treatment-induced histological changes can make intraoperative margin assessment challenging and sometimes ambiguous.
📊 Key insight: A positive doughnut margin should not be interpreted in isolation. Surgical decisions must consider tumor regression, main specimen margins, and overall patient factors.
✨ With advances in imaging and molecular profiling, and a strong multidisciplinary approach, more precise and personalised decision-making is becoming possible—guiding better outcomes in these complex cases.
📖 Read the full article: https://doi.org/10.1177/09760016251360083
👨⚕️Authors: Tandon
Objectives: Low re**al cancer presents dual challenges—achieving oncologic radicality while preserving sphincter function. Neoadjuvant chemoradiation (NACRT) ha...