NCCN Guidelines for Patients® | Colon Cancer - page 53

NCCN Guidelines for Patients
®
Colon Cancer, Version 1.2014
51
6
Treatment guide
Surgical options for recurrent colon cancer
Chart 6.1.3 Option 1
starts with surgery. After
surgery, you can start observation or try a treatment
regimen in Part 7. Observation is a period of testing to
assess for cancer growth.
Chart 6.1.4 Option 2
starts with a treatment
regimen listed in Part 7. After 2 to 3 months of
chemotherapy, you can have a metastasectomy.
Treatment after surgery is based on the success
of treatment before surgery. If the treatment before
surgery worked, you may re-start that treatment.
Other options are to take FOLFOX or start
observation. Together, chemotherapy given before
and after surgery should not exceed 6 months. If the
treatment before surgery didn’t work, you can start
a treatment regimen in Part 7 or start observation.
Observation is a period of testing to assess for cancer
growth.
If you
have had
chemotherapy before, there are two options.
Chart 6.1.3 Option 1
Primary treatment
Adjuvant treatment
• Metastasectomy
• Observation, or
• Treatment in Part 7
Chart 6.1.4 Option 2
Neoadjuvant treatment
Primary treatment
Adjuvant treatment
• Treatment in Part 7
• Metastasectomy
• If neoadjuvant worked:
– Re-start neoadjuvant regimen,
– FOLFOX, or
– Observation
• If neoadjuvant didn’t work:
– Treatment in Part 7, or
– Observation
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