Research Article

Helical Tomotherapy Combined with Capecitabine in the Preoperative Treatment of Locally Advanced Rectal Cancer

Table 3

Pathological stage and response after preoperative chemoradiotherapy in patients with locally advanced rectal cancer.

Case number (%)

Tumor regression grade (TRG)
 Grade 02 (5.7)
 Grade 15 (14.3)
 Grade 27 (20)
 Grade 316 (45.7)
Pathological complete response (TRG grade 4)5 (14.3)
 Pathological stage
  Stage 115 (42.9)
  Stage 26 (17.1)
  Stage 39 (25.7)
 ypT0-T2N0
  Yes20 (57.1)
  No15 (42.9)
Lymphovascular invasion
 Yes6 (17.1)
 No29 (82.9)
Perineural invasion
 Yes8 (22.9)
 No27 (77.1)
Pathological T stage
 Downstaging21 (60.0)
 Stable 14 (40.0)
 Progressive0

Case number (%)

Pathological N stage (in clinical N1-2 patients)
 Downstaging16 (69.6)
 Stable 6 (26.1)
 Progressive1 (4.3)

Correlation between TRG and pathological downstage ( )
Major responderaMinor responderb

T downstaging
 Yes2010.010
 No86
ypT0-2N0
 Yes1910.027
 No96
Pathologic node metastasis
 Yes540.055
 No233
Lymphovascular invasion
 Yes420.576
 No245
Perineural invasion
 Yes440.033
 No243
N downstaging (in clinical N1-2 patients)
 Yes1330.621
 No52

TRG 2, TRG 3, and TRG 4 are recognized as major responders after chemoradiotherapy; TRG 0 and TRG 1 are recognized as minor responders after chemoradiotherapy.