In rectal cancer, radiation therapy may be used before or after surgery. Radiation therapy may be used to shrink a tumor in cases where the location or size of the tumor makes it difficult to reach with surgery. In people who are not good surgical candidates, radiation therapy may be used instead of surgery.
Radiation therapy is given in several ways: from outside the body (much like an x-ray), via a device that is inserted into the anus, or inside the body in close proximity to the tumor.
Source:
American Cancer Society. "Radiation Therapy." American Cancer Society, Inc 5 Mar 2008. 4 Mar 2009.

