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Résumé Le traitement des cancers du rectum T2-3 repose en premier sur la chirurgie. Au-delà de 75 ans, la mortalité opératoire dépasse 14 %, la continence anale est souvent médiocre après résection antérieure. La radiothérapie, et notamment la radiothérapie de contact, est présentée comme une alternative à la chirurgie radicale chez les patients âgés porteurs de comorbidité et à haut risque chirurgical...
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