医学
结直肠癌
肿瘤科
微卫星不稳定性
内科学
全身疗法
疾病
癌症
临床实习
重症监护医学
家庭医学
乳腺癌
等位基因
化学
生物化学
基因
微卫星
作者
Al B. Benson,Alan P. Venook,Mahmoud M. Al-Hawary,Mustafa A. Arain,Yi‐Jen Chen,Kristen K. Ciombor,Stacey A. Cohen,Harry S. Cooper,Dustin A. Deming,Linda M. Farkas,Ignacio Garrido‐Laguna,Jean L. Grem,Andrew J. Gunn,J. Randolph Hecht,Sarah E. Hoffe,Joleen M. Hubbard,Steven R. Hunt,Kimberly L. Johung,Natalie Kirilcuk,Smitha Krishnamurthi
出处
期刊:Journal of The National Comprehensive Cancer Network
日期:2021-03-01
卷期号:19 (3): 329-359
被引量:1356
标识
DOI:10.6004/jnccn.2021.0012
摘要
This selection from the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) for Colon Cancer focuses on systemic therapy options for the treatment of metastatic colorectal cancer (mCRC), because important updates have recently been made to this section. These updates include recommendations for first-line use of checkpoint inhibitors for mCRC, that is deficient mismatch repair/microsatellite instability-high, recommendations related to the use of biosimilars, and expanded recommendations for biomarker testing. The systemic therapy recommendations now include targeted therapy options for patients with mCRC that is HER2-amplified, or BRAF V600E mutation–positive. Treatment and management of nonmetastatic or resectable/ablatable metastatic disease are discussed in the complete version of the NCCN Guidelines for Colon Cancer available at NCCN.org . Additional topics covered in the complete version include risk assessment, staging, pathology, posttreatment surveillance, and survivorship.
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