Treatment of Patients with Late-Stage Colorectal Cancer
Publication Date: March 9, 2020
Last Updated: November 8, 2022
Treatment
Recommendations on Symptom Management
1.1 Patients with advanced-stage colorectal cancer
Clinicians should provide symptom control and establish a management plan with multi-disciplinary approach (ASCO Resource Levels: Basic, Limited, Enhanced, Maximal) (S)
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1.2 Patients with clinically unstable disease due to bowel obstruction or uncontrolled bleeding or uncontrolled pain
Surgical evaluation (ASCO Resource Levels: Basic, Limited, Enhanced, Maximal) (S)
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1.3 Patients with clinically unstable disease due to bowel obstruction or uncontrolled bleeding or uncontrolled pain
If resectable, and urgent surgery required due to obstruction or bleeding: surgery of primary tumor (ASCO Resource Levels: Basic, Limited, Enhanced, Maximal). (S)
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1.4 Patients with clinically unstable disease due to bowel obstruction or uncontrolled bleeding or uncontrolled pain
If unresectable, unable to do biopsy due to clinical scenario, go to ASCO Palliative Care Guidelines (ASCO Resource Levels: Basic, Limited, Enhanced, Maximal) (S)
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1.5 Patients with clinically stable disease with ongoing bleeding from primary site
Transfusion + surgery of primary tumor (ASCO Resource Levels: Basic, Limited) (S)
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Transfusion + multi-disciplinary specialized evaluation (ASCO Resource Levels: Enhanced, Maximal) (S)
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Title
Treatment of Patients with Late-Stage Colorectal Cancer
Authoring Organization
American Society of Clinical Oncology