Would you offer further chemotherapy in the adjuvant setting after resection of an isolated liver met that developed shortly after completion of adjuvant FOLFOX for colon cancer?
Answer from: Medical Oncologist at Academic Institution
This is a difficult question but is a scenario we meet from time to time in the clinic.
The first question is when we say shortly after completion of adjuvant FOLFOX, what is the interval between completion of FOLFOX and the liver metastatic lesion detection? Usually, we think it is a short p...
Comments
Medical Oncologist at Indiana University Melvin and Bren Simon Cancer Center Great answer @Zhaohui Jin! I would just also add i...
Answer from: Medical Oncologist at Academic Institution
I most likely will elect to observe this patient only.Previously, the EORTC trial of peri-operative chemotherapy versus surgery alone, with up to four liver lesions, did not show a survival benefit with its updated publication in Lancet Oncology 2013. Interesting data was presented in ASCO 2020...
Great answer @Zhaohui Jin! I would just also add i...