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Copyright ©2014 Baishideng Publishing Group Inc.
World J Gastroenterol. Jun 14, 2014; 20(22): 6786-6808
Published online Jun 14, 2014. doi: 10.3748/wjg.v20.i22.6786
Table 7 Systemic treatment of colon cancer
Adjuvant therapy (stage III and stage II with high-risk features for systemic recurrence)
FOLFOX
CapeOx
If oxaliplatin is contraindicated or elderly patients
Capecitabine
5-FU/Leucovorin
Metastatic disease (stage IV)
Resectable disease (lung, hepatic or peritoneal metastasis)
Consider surgery and/or locoregional treatment (radiofrequency, stereotactic radiotherapy) and 6 mo of perioperative chemotherapy (FOLFOX, CapeOx preferred)
Potentially resectable
FOLFOX
FOLFIRI
FOLFOXIRI
Cetuximab + FOLFIRI (only KRAS wild type)
Panitumumab + FOLFOX (only KRAS wild type)
Bevacizumab + FOLFOX
Unresectable (palliative)
FOLFOX
CapeOx
FOLFIRI
FOLFOX + Bevacizumab
CapeOx + Bevacizumab
FOLFOX + Panitumumab (only KRAS wild type)
FOLFIRI + Panitumumab (only KRAS wild type)
FOLFIRI + Cetuximab (only KRAS wild type)
FOLFIRI + Aflibercept
Capecitabine
5-FU/Leucovorin
Cetuximab + Irinotecan (only KRAS wild type)
Cetuximab monotherapy (only KRAS wild type)
Panitumumab monotherapy (only KRAS wild type)
Regorafenib