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NCCN QUICK GUIDE

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Rectal Cancer, Version 1.2017

PAT-N-0998-0717

What are treatment options for rectal cancer?

Stage I

Follow-up care or surgery via the anus in some cases.

■ Many tumors are removed through a cut into the abdominal wall.

Follow-up care when there are no signs of cancer after treatment.

44

Stages II & III

Radiation with or without chemotherapy, surgery, and chemotherapy

alone.

If surgery isn’t an option, chemotherapy is often received.

Follow-up care when there are no signs of cancer after treatment.

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Local

recurrence

Chemotherapy with radiation therapy before or after surgery.

Chemotherapy with or without radiation therapy.

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Stage IV

Radiation with or without chemotherapy, rectal and liver/lung surgery,

and chemotherapy alone. Local treatment may be received with or in

place of liver/lung surgery.

Chemotherapy with or without radiation or radiation alone.

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Return of

cancer in

distant sites

■ Liver/lung surgery and chemotherapy. Local treatment may be

received with or in place of liver/lung surgery.

■ If surgery isn’t an option, chemotherapy is often received.

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What chemotherapy is commonly used?

FOLFOX or CapeOX with or without bevacizumab, panitumumab, or cetuximab

67

FOLFIRI with or without bevacizumab, panitumumab, or cetuximab

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FOLFOXIRI with or without bevacizumab

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5-FU/LV or capecitabine with or without bevacizumab, panitumumab, or cetuximab

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Infusional 5-FU/LV, irinotecan, capecitabine, panitumumab, or cetuximab alone

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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.

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NCCN Guidelines

for Patients

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Page Number

Ü NCCN.org - for Clinicians

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NCCN.org/patients - for Patients

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