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Adjuvant Systemic Therapy of Colon Cancer
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What is your usual adjuvant treatment recommendation for the following colon cancer clinical scenarios?
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What is your usual adjuvant treatment recommendation for the following colon cancer clinical scenarios?
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What is your usual adjuvant treatment recommendation for the following colon cancer clinical scenarios?
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Case 1: Treatment of Stage II colon cancer
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Case 1: Treatment of Stage II colon cancer
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Case 1: Treatment of Stage II colon cancer
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Case 1: Treatment of Stage II colon cancer
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Approximately what percentage of your patients with colectomies for colon cancer have a suboptimal number of nodes reported pathologically?
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In your practice, what number of lymph nodes do you generally consider should be resected to adequately assess the risk of recurrence for patients with node-negative colorectal cancer?
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How likely are you to recommend adjuvant chemotherapy to a 60-year-old, healthy woman with Stage II colon cancer and the following estimated 5-year risks of recurrence?
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How likely are you to recommend adjuvant chemotherapy to a 60-year-old, healthy woman with Stage II colon cancer and the following estimated 5-year risks of recurrence?
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How likely are you to recommend adjuvant chemotherapy to a 60-year-old, healthy woman with Stage II colon cancer and the following estimated 5-year risks of recurrence?
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How likely are you to recommend adjuvant chemotherapy to a 60-year-old, healthy woman with Stage II colon cancer and the following estimated 5-year risks of recurrence?
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In your estimation, what percentage of colon cancer patients would choose to receive adjuvant FOLFOX, after hearing a balanced presentation of the potential risks and benefits, if the patient was told that there was a chance that the cancer would recur or relapse and that by taking chemotherapy, that chance of relapse would be reduced to
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In your estimation, what percentage of colon cancer patients would choose to receive adjuvant FOLFOX, after hearing a balanced presentation of the potential risks and benefits, if the patient was told that there was a chance that the cancer would recur or relapse and that by taking chemotherapy, that chance of relapse would be reduced to
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Approximately what percentage of your patients with Stage II colon cancer receive adjuvant chemotherapy?
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Phase III Randomized Study of Oxaliplatin, Leucovorin Calcium and Fluorouracil with or without Bevacizumab in Patients with Resected Stage II Colon Cancer
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Case 2: Treatment of Stage III colon cancer
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Case 2: Treatment of Stage III colon cancer
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Bevacizumab is a reasonable clinical recommendation for the 65-year-old patient in the previous case (woman in average health, T3 tumor in the left descending colon, 15/25 lymph nodes positive).
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Have you used bevacizumab off protocol in the adjuvant setting?
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The combination of adjuvant FOLFOX and bevacizumab will result in improved disease-free survival compared to FOLFOX alone for patients with resected Stage II or III colon cancer who are enrolled in the NSABP-C-08 trial.
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Would you consider including bevacizumab in the adjuvant therapy of a younger, healthy, well-informed patient with high-risk, multiple node-positive colon cancer who requested it and would pay for it?
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In general, for otherwise healthy patients of any age — even those in their seventies or eighties — if adjuvant chemotherapy is to be used, it should include oxaliplatin.
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Assume you have a patient on an adjuvant oxaliplatin-containing regimen who develops Grade III sensory neurotoxicity after 8/12 planned cycles. Which of the following would likely be your treatment plan?
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With the understanding that more data may be required to definitively answer this question, in your best estimation, how would you currently compare XELOX/CAPOX to FOLFOX in the adjuvant setting?
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With the understanding that more data may be required to definitively answer this question, in your best estimation, how would you currently compare XELOX/CAPOX to FOLFOX in the adjuvant setting?
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Have you used capecitabine with oxaliplatin in the adjuvant setting?
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What dose of capecitabine do you routinely use in combination with oxaliplatin in the adjuvant setting?
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Practicing oncologists should be discussing with patients the potential impact of exercise and diet on disease recurrence.
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Practicing oncologists should be discussing with patients the potential impact of exercise and diet on disease recurrence.