Published in:
01-10-2010
To Resect or not the Primary Tumor in Metastatic Colorectal Cancer: Letter to the Editor
Authors:
Christos G. Katsios, Georgios Baltogiannis
Published in:
World Journal of Surgery
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Issue 10/2010
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Excerpt
Colorectal cancer (CRC) is one of the most common tumors in the US, Europe, and worldwide but with a relatively good prognosis. In the adjuvant setting, high long-term survival rates have been reported, and even in the metastatic setting, with the use of systemic chemotherapy the median survival time has been improved to roughly 20 months. The addition of biologic agents such as cetuximab or panitumab has raised expectation for further survival improvement. With these developments, an old problem in surgical oncology has now been updated. Is the decision to resect the primary tumor, when it is locally completely resectable, correct, or will resection harm patients with a stage IV disease? …