Table 5.

Pathological Parameters in Both Groups.

Parameter Neoadjuvant Chemotherapy (NACT; n=22) Neoadjuvant Chemoradiotherapy (NACRT; n=33) P value
R0 resection 19 (86%) 29 (88%) 1

R1 resection 3 (14%) 4 (12%) 1

Tumor regression grading (TRG) score 0.019
 Complete (0) 3 15
 Moderate (1) 1 5
 Minimal (2) 8 9
 Poor (3) 10 4

TRG 0 3 (14%) 15 (45.5%) 0.019
TRG 1/2/3 19 (86%) 18 (54.5%)

LVI 10 (45%) 5 (15%) 0.0284

PNI 4 (18%) 6 (18%) 1

Down-staging effect on primary tumor 0.019
 pT0 3 (13.6%) 15 (45%)
 pT1/2/3/4 19 (86.4%) 18 (55%)

Down-staging effect on nodes 0.5533
 pN0 15 (68%) 25 (76%)
 pN1/2/3 7 (32%) 8 (24%)

Pathological complete response 3 (13.6%) 13 (39.4%) 0.0675

Median tumor size (cm) 2.5 0.2 0.0005

No. of lymph nodes resected 0.1872
 Median 13 11
 Range 8–32 2–26

No. of positive lymph nodes 0.5485
 Mean 1.72 0.72
 Range 0–11 0–6

LVI, lymphovascular invasion; PNI, perineural invasion; R0 resection, microscopically margin-negative resection; R1 resection, removal of all macroscopic disease, but microscopic margins are positive for tumor.

RMMJ Rambam Maimonides Medical Journal Rambam Health Care Campus 2019 January; 10(1): e0002. ISSN: 2076-9172
Published online 2019 January 28. doi: 10.5041/RMMJ.10339