Consequently, EUS remains the cornerstone technique for the selection of superficial T1 tumours that can be considered for local excision.
Surgical excision is considered for symptomatic lesions likely from compression of adjacent structures or hepatic capsular stretching.
Nevertheless, various conservative surgical procedures and approaches may be considered for rectal GISTs, including local excision, anterior resection, trans-sacral/anal/vaginal approaches, and laparoscopic approaches [ 28- 30].
Although local excision may be considered for small well differentiated anal cancers, in most instances chemo-radiotherapy is needed for treatment [ 10, 11] with its potential long term side effects such as impotence.
In view of these data, local excision has been considered for a subset of patients with locally advanced rectal cancer and good response after CRT (Borschitz et al, 2008; Callender et al, 2010; Belluco et al, 2011; Bujko et al, 2013).
Many options can be considered for the treatment of osteochondroma, including resection via local excision (condylectomy), arthroplasty, and vertical ramus osteotomy.
Excision alone without RT may occasionally be considered for patients at low risk of recurrence.
Surgical excision of the primary tumour was then considered for all patients in an attempt to avoid or minimise use of radiotherapy.
13– 18 In view of these data, along with the available information on outcome of locally advanced rectal cancer treated by local excision (LE), organ-preserving strategies have been considered for the subset of patients with ypCR after CRT.
53 60 Follow-up within 6 months is in line with the position of the US Multi-Society Tand Force for Colorecthe CAmerican Cancer SocietyCancer Society who recommend that lesions removed piecemeal should be considered for follow-up endoscopy between 2 and 6 month intervals until complete excision.
