MRI:
Mid rectal cancer (5 to 10 cm)., T3a N2. The anal sphincer is not involved. The circumferential resection margin is threatened by a mesorectal lymph node/tumor deposit. Findings suspicious for EMVI are present.
CT:
Several rounded and mildly enlarged lymph modes identified in the presacral space along the IMV chain raising the possibility of metastatic disease.
Primary rectal tumor is not appreciated on CT scan
No evidence for metastatic disease otherwise in the chest, abdomen or Pelvis.
两个医院医生意见不统一,先手术还是先化疗, 专家门怎么看?多谢