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59

NCCN Guidelines for Patients

®

:

Rectal Cancer, Version 1.2017

5

Metastatic disease

Metastases at diagnosis

Adjuvant treatment

After primary treatment, you may receive adjuvant

treatment. It is given to prevent the cancer from

returning, especially in distant sites. Start adjuvant

treatment as soon as you can for the best results.

Adjuvant treatment consists of chemotherapy.

FOLFOX or CAPEOX is preferred. Otherwise, you

may receive 5-FU/LV or capecitabine. 5-FU/LV and

capecitabine may be a good choice if they worked

well for neoadjuvant treatment.

Option 1

Option 1 may end with chemoradiation. Your doctor

may advise this treatment based on your test

results. Infusional 5-FU or capecitabine is preferred.

However, bolus 5-FU/LV may be received instead.

Options 2 and 3

Options 2 and 3 end with chemotherapy. Adjuvant

chemotherapy should consist of the same regimen

as for neoadjuvant chemotherapy. This regimen is

likely to work well if it did before.

Options 4 and 5

Options 4 and 5 also end with chemotherapy.

FOLFOX or CAPEOX is preferred. Otherwise, you

may receive 5-FU/LV or capecitabine.