What process do you follow to develop a treatment plan for metastatic colon cancer patients?

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SanjayGoelMD (Physician (Verified) ) - 03 / 28 / 2013

On the initial meeting, I perform a thorough history and physical exam. Next is to review the pathology and confirm the diagnosis, specific features, (and possibly consider ordering a genetic test called Kras). I then review the radiology (Xray, CT scans, MRI) to determine the extent of disease, organs involved, and need for additional testing. Laboratory tests, particularly blood counts, and liver and kidney tests and CEA (tumor marker) are ordered if not already done.

Patients are then presented at a multidisciplinary tumor board to ascertain the best therapeutic option. A fraction of patients with metastatic disease are considered curable, incorporating chemotherapy, and surgery, and possibly with radiation. Further decisions are made depending on this. If considered incurable, depending or patient’s physical condition, blood tests, and choices, a treatment plan is developed and followed. If available, a clinical trial is offered and discussed with patient.
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