NCCN Guidelines for Patients® | Colon Cancer - page 40

1
About colon cancer
Genetic counseling | Treatment
NCCN Guidelines for Patients
®
Colon Cancer, Version 1.2014
38
5
Treatment guide
Stag s I (T2), II, a d III colon cancer
5.2 Stages I
(T2)
, II, and III colon cancer
Chart 5.2.1
lists the options for primary treatment.
Primary treatment is the main treatment used to
rid your body of cancer. Surgery should be done if
possible for stages I (T2), II, and III. Otherwise, you
can receive the treatments listed in Part 7.
Surgery includes a colectomy with lymphadenectomy.
In some cases, the tumor has grown so large that
it blocks the flow of stool. There are three options
when there is a blockage. First, your surgeon can
do a colectomy that unblocks your gut. The second
option is cancer surgery and a diversion to allow stool
Chart 5.2.1 Primary treatment
Test results
Treatment options
• Tumor can be treated with surgery
and isn’t blocking the gut
• Colectomy + lymphadenectomy
• Tumor can be treated with surgery
and is blocking the gut
• Colectomy + lymphadenectomy,
• Colectomy + lymphadenectomy followed by
diversion, or
• Diversion followed by colectomy + lymphadenectomy
• Tumor can’t be treated with surgery
• Treatments listed in Part 7
Chart 5.2.2 Adjuvant treatment
Pathologic stage
Treatment options
• Stage I (T2 tumor)
• Short follow-up testing
• Stage IIA without high-risk features
• Clinical trial,
• Start follow-up testing, or
• Consider capecitabine or 5-FU/LV
• Stage IIA with high-risk features
Stage IIB
Stage IIC
• Capecitabine or 5-FU/LV,
• FOLFOX, CapeOX, or FLOX,
• Clinical trial, or
• Start follow-up testing
• Stage III
• FOLFOX or CapeOX,
• FLOX,
• Capecitabine, or
• 5-FU/LV
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