大腸癌T3a N2

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.

 

兩個醫院醫生意見不統一，先手術還是先化療， 專家門怎麽看？多謝