Non-resection versus resection for an asymptomatic primary tumour in patients with unresectable stage IV colorectal cancer.

@article{Cirocchi2012NonresectionVR,
  title={Non-resection versus resection for an asymptomatic primary tumour in patients with unresectable stage IV colorectal cancer.},
  author={Roberto Cirocchi and Stefano Trastulli and Iosief Abraha and Nereo Vettoretto and Carlo Boselli and Alessandro Montedori and Amilcare Parisi and Giuseppe Noya and Cameron Platell},
  journal={The Cochrane database of systematic reviews},
  year={2012},
  volume={8},
  pages={CD008997}
}
BACKGROUND In a majority of patients with stage IV colorectal cancer, the metastatic disease is not resectable and the focus of management is on how best to palliate the patient. How to manage the primary tumour is an important part of palliation. A small proportion of these patients present with either obstructing or perforating cancers and require urgent surgical care. However, a majority are relatively asymptomatic from their primary cancer. Chemotherapy has been shown to prolong survival in… CONTINUE READING
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