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In Reply.—Dr Pieters raises several questions about a lack of details in our report regarding previous radiotherapy given to patients. Our article, however, was not about radiotherapy. Rather, it discussed techniques and results of radical surgery in patients with previously irradiated bulky or recurrent anorectal cancers; many of these cancers had been declared "inoperable." We summarized the previous surgery or irradiation received by these patients to show the type of population we were dealing with and to show that reirradiation was not a useful option. We did not believe that further details of previous treatment, such as resection margins, irradiation port size, or dose fractionation, would have significantly added much to this discussion, nor would they have been of much use to surgeons trying to figure out how to operate on such patients. While this may have been an oversight, it was certainly not an egregious oversight, as Dr
PEARLMAN NW, STIEGMANN GV. Radiation Treatment Technique and Surgical Results-Reply. Arch Surg. 1988;123(5):663–664. doi:10.1001/archsurg.1988.01400290149031
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