FRCS Gen Surg Practice Questions - Intercollegiate Specialty Fellowship Examination In General Surgery (FRCS Gen Surg) Exam

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A 68-year-old man has a biopsy-proven adenocarcinoma of the upper rectum 12 cm from the anal verge. Staging MRI shows a T3 tumour with a clear circumferential resection margin and no threatened mesorectal fascia; CT shows no metastases. According to current UK practice, what is the most appropriate management?

Long-course chemoradiotherapy followed by total mesorectal excision Primary anterior resection with total mesorectal excision Abdominoperineal excision of the rectum Defunctioning loop colostomy followed by palliative chemotherapy

Correct Answer:

Primary anterior resection with total mesorectal excision

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