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NCCN QUICK GUIDE
Colon Cancer, Version 1.2017
What are treatment options for colon cancer?
Follow-up care in some cases.
■ Surgery to remove the cancer and some lymph nodes. After surgery,
follow-up care is started.37
Stages II & III
Chemotherapy before surgery if the tumor has grown through the
colon wall to nearby sites.
Surgery to remove the cancer and some lymph nodes. Otherwise,
chemotherapy with or without radiation therapy.
Chemotherapy after surgery for some stage II and most stage III
Follow-up care when there are no signs of cancer after treatment.40
Colon and liver/lung surgery and chemotherapy with or without local
treatment to the distant site with cancer.
Colon surgery, local treatment, and chemotherapy.
Chemotherapy without surgery.48
■ Liver/lung surgery, local treatment, and chemotherapy.
■ Local treatment and chemotherapy.
■ Chemotherapy without surgery.52
What chemotherapy is commonly used?
FOLFOX or CapeOX with or without bevacizumab, panitumumab, or cetuximab57
FOLFIRI with or without bevacizumab, panitumumab, or cetuximab58
FOLFOXIRI with or without bevacizumab59
5-FU/LV or capecitabine with or without bevacizumab, panitumumab, or cetuximab60
Infusional 5-FU/LV, irinotecan, capecitabine, panitumumab, or cetuximab alone61
What are some tips for making good treatment decisions?
Ask your doctors many questions. Also, you could get a second opinion, attend support
groups, and compare pros and cons.64
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