Colorectal Cancer InstituteLeblon · Rio de Janeiro
Information for patients and families

Rectal cancer: next steps

Rectal cancer planning considers the tumour’s position in the pelvis, its extent and the person’s health. A specialist assessment helps explain the proposed stages of care.

Why does tumour location matter?

A tumour’s position in the rectum and its relationship to nearby structures influence planning. Ask the team to explain its location using your own imaging.

How are imaging and biopsy used?

Biopsy and imaging answer different questions. Pathology characterises tissue; imaging helps assess disease extent. The team decides which tests are needed.

Is surgery always the first step?

No. Rectal cancer care may include treatment before surgery, depending on assessment. Multidisciplinary discussion helps determine which treatments are appropriate and in what order.

How can I discuss a stoma and bowel function?

Ask whether a stoma may be needed, what its purpose would be and how treatment could affect bowel function. These answers depend on the individual plan and cannot be guaranteed by a webpage.

How can relatives help after a diagnosis?

Organise records, write down questions and discuss who will attend the appointment. A second opinion can help explain a treatment proposal without interrupting existing care.

Sources and context

Educational information. Advice for your case depends on individual assessment.

Editorial update: 2 October 2026.

For your appointment

You do not need to know
where to start.

Reception can advise on availability and preparation. Already have test results? Mention this when requesting an appointment and ask how to present your records.

CallRequest assessment