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== '''Anatomy/pathophysiology''' == * See colon cancer topic for pathophysiology * Rectum starts ANATOMICALLY where the three taenia coli fuse into a single longitudinal smooth muscle coat (rectosigmoid junction). However, oncologically, we refer to any cancer that develops in the extraperitoneal large bowel as rectal cancer. * Much higher risk of local recurrence than colon cancer * More likely to metastasise to lungs than colon cancer, due to venous drainage into systemic circulation
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