World Journal of Gastrointestinal Oncology
Letter to the Editor: Total neoadjuvant therapy for locally advanced rectal cancer: Navigating beyond surgical outcomes to holistic patient-centered care
Locally advanced rectal cancer (LARC) remains a major challenge in oncology, with traditional treatment centered on long-course chemoradiotherapy (LCCRT) followed by total mesorectal excision. However, this paradigm is limited by suboptimal chemotherapy compliance, persistent metastasis risk, and functional morbidity. Total neoadjuvant therapy (TNT), integrating systemic chemotherapy with chemoradiotherapy upfront, has emerged as a promising alternative, but concerns about surgical safety and complexity hinder its …