Metastatic Colorectal Cancer. First Line Therapy for Unresectable Disease

Colorectal cancer (CRC) is a commonly diagnosed malignancy. The prognosis of patients with unresectable, metastatic colorectal cancer (mCRC) is dismal and medical treatment is mainly palliative in nature. Although chemotherapy remains the backbone of treatment, the landscape is changing with the und...

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Detalles Bibliográficos
Autores: Aparicio, Jorge, Esposito, Francis, Serrano, Sara, Falcó, Esther, Escudero, Pilar, Ruiz-Casado, Ana, Manzano, Hermini, Fernández-Montes, Ana
Tipo de recurso: artículo
Fecha de publicación:2020
País:España
Institución:Conselleria de Salut i Consum del Govern de les Illes Balears
Repositorio:Docusalut
Idioma:inglés
OAI Identifier:oai:docusalut.com:20.500.13003/16126
Acceso en línea:https://hdl.handle.net/20.500.13003/16126
Access Level:acceso abierto
Palabra clave:colorectal cancer
metastatic disease
chemotherapy
targeted agents
Descripción
Sumario:Colorectal cancer (CRC) is a commonly diagnosed malignancy. The prognosis of patients with unresectable, metastatic colorectal cancer (mCRC) is dismal and medical treatment is mainly palliative in nature. Although chemotherapy remains the backbone of treatment, the landscape is changing with the understanding of its heterogeneity and molecular biology. First-line therapy relies on a combination of chemotherapy and targeted therapies, according to clinical patient characteristics and tumor molecular profile. Here we review current evidence from randomized clinical trials for using chemotherapy doublets or triplets, and for the addition of bevacizumab or anti-epidermal growth factor receptor (EGFR) agents. Novel therapies developed for small, selected populations are also discussed.