Abstract

Based on demographic studies conducted in Saudi Arabia, colorectal cancer is highly prevalent in this region. Regardless the great risk of post-surgical and chemoradiotherapy recurrence, advances in the medical field together with the programmed as well as the mandatory strict follow up and surveillance programs followed, this allowed patients to experience better prognosis together with reducing morbidity and mortality rates. In this case we can point off the importance of watch and see policy in the treatment of rectal cancer. Some patients tend to show an excellent response to CRTh, with disappearance of the rectal tumor. In these cases, we do follow them up strictly every three months with MRI pelvis and sigmoidoscopy. However, during follow up some of watch and see policy have recurrence.