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Histopathological reporting of pT4 tumour stage in colorectal carcinomas: dotting the ‘I’s and crossing the ‘T’s
  1. Rajiv Swamy
  1. Department of Histopathology, East and North Hertfodshire NHS Trust, Howlands, Welwyn Garden City, Hertfordshire, UK
  1. Correspondence to Dr Rajiv Swamy, Queen Elizabeth II Hospital, Howlands, Welwyn Garden City, Hertfordshire AL7 4HQ, UK; rajiv.swamy{at}

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I agree with Dr Carr's comment1 that a localised perforation in a rectal cancer is staged as pT4 as per the College dataset due to its poor prognosis without necessarily fulfilling the TNM criteria for …

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