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Related Experiment Videos

Decision-making: what tests to do? What choices to consider?

V W Fazio1, G J Harris

  • 1Department of Colorectal Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.

Surgical Oncology Clinics of North America
|September 29, 2000
PubMed
Summary

Recurrent colorectal cancer, especially in the pelvis, presents surgical challenges. This guide helps surgeons determine patient suitability for curative resection versus palliative care.

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Area of Science:

  • Oncology
  • Surgical Oncology
  • Gastrointestinal Surgery

Background:

  • Recurrent colorectal cancer poses significant diagnostic and therapeutic challenges, particularly in pelvic cases.
  • Individualized patient assessment is crucial for effective management.
  • Treatment strategies are bifurcated into curative resection and palliative care.

Purpose of the Study:

  • To guide surgeons in evaluating patients with recurrent colorectal cancer for curative resection.
  • To assist in determining the extent and resectability of recurrent disease.
  • To provide a framework for logical investigation and treatment planning for both curative and palliative scenarios.

Main Methods:

  • Systematic review of diagnostic and therapeutic approaches for recurrent colorectal cancer.

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  • Clinical case analysis focusing on pelvic recurrence.
  • Development of a decision-making algorithm for surgical intervention.

    • Main Results:

    • Identification of key criteria for patient selection for curative resection.
    • Assessment of imaging modalities for staging recurrent disease.
    • Evaluation of surgical techniques and outcomes for resectable recurrence.

    Conclusions:

    • Tailored, individualized treatment is essential for recurrent colorectal cancer.
    • Careful patient selection and thorough staging are paramount for curative attempts.
    • A structured approach enhances the management of both curative and palliative cases.