Case challenge · Surgical approach decision / Colorectal surgery / Oncology · teaching

Rectal Cancer · Local Excision vs TME · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on NCCN / ESMO

Case #1Surgical approach decision / Colorectal surgery / Oncology

📋 Case data

Stage/risk + sphincter/locationClinical complete response after neoadjuvant (cCR), selected

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Stage/risk + sphincter/location

T stage/pathologic risk? Sphincter involvement/location?

💡 Nodal metastasis risk rises with depth of invasion: T1 ~10%, T2 ~26%, T3 ~51%.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.