Tailored Treatment of Colorectal Cancer: Surgical, Molecular, and Genetic Considerations

Colorectal cancer (CRC) is a complex cancer disease, and approximately 40% of the surgically cured patients will experience cancer recurrence within 5 years. During recent years, research has shown that CRC treatment should be tailored to the individual patient due to the wide variety of risk factor...

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Main Authors: Knut Magne Augestad, Marianne A Merok, Dejan Ignatovic
Format: Article
Language:English
Published: SAGE Publishing 2017-02-01
Series:Clinical Medicine Insights: Oncology
Online Access:https://doi.org/10.1177/1179554917690766
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author Knut Magne Augestad
Marianne A Merok
Dejan Ignatovic
author_facet Knut Magne Augestad
Marianne A Merok
Dejan Ignatovic
author_sort Knut Magne Augestad
collection DOAJ
description Colorectal cancer (CRC) is a complex cancer disease, and approximately 40% of the surgically cured patients will experience cancer recurrence within 5 years. During recent years, research has shown that CRC treatment should be tailored to the individual patient due to the wide variety of risk factors, genetic factors, and surgical complexity. In this review, we provide an overview of the considerations that are needed to provide an individualized, patient-tailored treatment. We emphasize the need to assess the predictors of CRC, and we summarize the latest research on CRC genetics and immunotherapy. Finally, we provide a summary of the significant variations in the colon and rectal anatomy that is important to consider in an individualized surgical approach. For the individual patient with CRC, a tailored treatment approach is needed in the preoperative, operative, and postoperative phase.
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spelling doaj.art-eee88b1ac57e4828b819c4f24a509bc42022-12-22T00:16:59ZengSAGE PublishingClinical Medicine Insights: Oncology1179-55492017-02-011110.1177/117955491769076610.1177_1179554917690766Tailored Treatment of Colorectal Cancer: Surgical, Molecular, and Genetic ConsiderationsKnut Magne Augestad0Marianne A Merok1Dejan Ignatovic2Department of Gastrointestinal Surgery, Akershus University Hospital, Oslo, NorwayDepartment of Gastrointestinal Surgery, Akershus University Hospital, Oslo, NorwayInstitute of Clinical Medicine, University of Oslo, NorwayColorectal cancer (CRC) is a complex cancer disease, and approximately 40% of the surgically cured patients will experience cancer recurrence within 5 years. During recent years, research has shown that CRC treatment should be tailored to the individual patient due to the wide variety of risk factors, genetic factors, and surgical complexity. In this review, we provide an overview of the considerations that are needed to provide an individualized, patient-tailored treatment. We emphasize the need to assess the predictors of CRC, and we summarize the latest research on CRC genetics and immunotherapy. Finally, we provide a summary of the significant variations in the colon and rectal anatomy that is important to consider in an individualized surgical approach. For the individual patient with CRC, a tailored treatment approach is needed in the preoperative, operative, and postoperative phase.https://doi.org/10.1177/1179554917690766
spellingShingle Knut Magne Augestad
Marianne A Merok
Dejan Ignatovic
Tailored Treatment of Colorectal Cancer: Surgical, Molecular, and Genetic Considerations
Clinical Medicine Insights: Oncology
title Tailored Treatment of Colorectal Cancer: Surgical, Molecular, and Genetic Considerations
title_full Tailored Treatment of Colorectal Cancer: Surgical, Molecular, and Genetic Considerations
title_fullStr Tailored Treatment of Colorectal Cancer: Surgical, Molecular, and Genetic Considerations
title_full_unstemmed Tailored Treatment of Colorectal Cancer: Surgical, Molecular, and Genetic Considerations
title_short Tailored Treatment of Colorectal Cancer: Surgical, Molecular, and Genetic Considerations
title_sort tailored treatment of colorectal cancer surgical molecular and genetic considerations
url https://doi.org/10.1177/1179554917690766
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AT marianneamerok tailoredtreatmentofcolorectalcancersurgicalmolecularandgeneticconsiderations
AT dejanignatovic tailoredtreatmentofcolorectalcancersurgicalmolecularandgeneticconsiderations