G.I. E24: Selective Radiation Omission: PROSPECT, Upfront Surgery, and Local Excision.

Episode 24: Selective Radiation Omission: PROSPECT, Upfront Surgery, and Local Excision. Selective radiation omission in rectal cancer requires a defined treatment algorithm and careful eligibility assessment. In this episode, we reconstruct PROSPECT selection, chemotherapy, response assessment, and rescue chemoradiation, then distinguish that pathway from upfront surgery and local excision in separately selected patients.