Resection of the Primary Tumor in Stage IV Colorectal Cancer: When Is It Necessary?

The Surgical Clinics of North America
Leandro FeoGarrett M Nash

Abstract

Management of metastatic colorectal cancer requires accurate staging and multidisciplinary evaluation, leading to a consensus treatment plan with the ultimate goal of increasing survival and improving the quality of life, while taking into consideration the patient's performance status, disease burden, and goals of care. Since the introduction of multidrug chemotherapeutic regimens, survival of patients with metastatic colorectal cancer has improved. Many patients with unresectable disease are undergoing surgery for asymptomatic primary tumors despite evidence that it is usually a futile intervention. Palliative measures for local control of the primary tumor include colonic stents, laser therapy, and fulguration.

Citations

Nov 1, 2017·Medical Oncology·Michał PędziwiatrAndrzej Budzyński
Mar 2, 2019·World Journal of Hepatology·Felix Che-Lok Chow, Kenneth Siu-Ho Chok
Dec 13, 2019·Frontiers in Oncology·Bruno Augusto Alves MartinsAline Maria Araújo Martins
Aug 7, 2020·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Agustín Seoane UrgorriMarco Antonio Álvarez-González
Mar 17, 2020·Journal of Research in Medical Sciences : the Official Journal of Isfahan University of Medical Sciences·Yakup ErgunDogan Uncu
Aug 14, 2019·Oncology Letters·Xiaohang PanJialiang Gan
May 8, 2021·Head & Neck·William Tyler TurchanMichael T Spiotto
Aug 28, 2021·Biomedicines·Daniel-Clement Osei-BordomNiki Christou

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