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Review

Adjuvant Therapy for Stages II and III Colon Cancer: Risk Stratification, Treatment Duration, and Future Directions

1
Gerald Bronfman Department of Oncology, McGill University Faculty of Medicine, Montreal, QC, Canada
2
University of Hawaii Internal Medicine Program, Honolulu, HI 96822, USA
3
University of Hawaii Cancer Center, Honolulu, HI 96822, USA
4
E-783.2 Segal Cancer Centre, Sir Mortimer B. Davis Jewish General Hospital, 3755 Côte-Sainte-Catherine Road, Montreal, QC H3T 1E2, Canada
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2019, 26(s1), 43-52; https://doi.org/10.3747/co.26.5605
Submission received: 13 August 2019 / Revised: 4 September 2019 / Accepted: 9 October 2019 / Published: 1 November 2019

Abstract

Background: To date, the role of adjuvant systemic therapy in stages ii and iii colon cancer remains a topic of interest and debate. The objective of the present review was to assess the most recent data, specifically addressing methods of risk stratification, duration of therapy, and future directions. Methods: PubMed and medline were searched for literature pertinent to adjuvant chemotherapy in either stage ii or stage iii colorectal cancer. Summary: Locoregional disease, histopathology, age, laterality, and a number of other biologic and molecular markers appear to have a role in disease risk stratification. The duration of adjuvant therapy for stage iii disease can vary based on risk factors, but use of adjuvant therapy and duration of therapy in stage ii disease remain controversial. Future directions should include genomic assays and improved study design to provide concrete evidence about the duration of adjuvant folfox or capox and about other types of chemotherapy and immunotherapy.
Keywords: adjuvant chemotherapy; treatment duration; risk stratification; colorectal cancer adjuvant chemotherapy; treatment duration; risk stratification; colorectal cancer

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MDPI and ACS Style

Bender, U.; Rho, Y.S.; Barrera, I.; Aghajanyan, S.; Acoba, J.; Kavan, P. Adjuvant Therapy for Stages II and III Colon Cancer: Risk Stratification, Treatment Duration, and Future Directions. Curr. Oncol. 2019, 26, 43-52. https://doi.org/10.3747/co.26.5605

AMA Style

Bender U, Rho YS, Barrera I, Aghajanyan S, Acoba J, Kavan P. Adjuvant Therapy for Stages II and III Colon Cancer: Risk Stratification, Treatment Duration, and Future Directions. Current Oncology. 2019; 26(s1):43-52. https://doi.org/10.3747/co.26.5605

Chicago/Turabian Style

Bender, U., Y.S. Rho, I. Barrera, S. Aghajanyan, J. Acoba, and P. Kavan. 2019. "Adjuvant Therapy for Stages II and III Colon Cancer: Risk Stratification, Treatment Duration, and Future Directions" Current Oncology 26, no. s1: 43-52. https://doi.org/10.3747/co.26.5605

APA Style

Bender, U., Rho, Y. S., Barrera, I., Aghajanyan, S., Acoba, J., & Kavan, P. (2019). Adjuvant Therapy for Stages II and III Colon Cancer: Risk Stratification, Treatment Duration, and Future Directions. Current Oncology, 26(s1), 43-52. https://doi.org/10.3747/co.26.5605

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