The process used to find out if cancer has spread within the colon/rectum or to other parts of the body is called staging. Treatment can vary based on what stage you’re diagnosed at. The below chart provides an overview.

STAGESURGERYCHEMOTHERAPY / BIOLOGICSRADIATIONINTERVENTIONAL RADIOLOGY
Stage 0YesNoNoNo
Stage IYesNoNoNo
Stage IIYesYes, for rectal and high risk colon cancers. FOLFOX (5-FU/Leucovorin/Oxaliplatin) or CapeOx (Capecitabine/Oxaliplatin)Yes, for rectal cancer. Given in tandem with 5-FU or XelodaNo
Stage IIIYesFOLFOX or CapeOxYes, for rectal cancer. Given in tandem with 5-FU or XelodaNo
Stage IVYes, if the tumor is obstructive or blocking the bowel. Some patients become surgical candidates for liver, lung or peritoneal surgery. Usually not, if the tumor is not blocking the bowelFOLFOX, FOLFIRI, Avastin, Erbitux, Vectibix, Zaltrap, Stivarga, Lonsurf, Cyramza Yes, for rectal cancer and in certain other cases.
Interventional radiology for liver and lung metastases
Possibly. Options could be Radio Frequency Ablation (RFA) or chemoembolization

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QUESTIONS TO ASK BEFORE TREATMENT



TREATMENT OPTIONS BY STAGE OF DIAGNOSIS



METASTATIC TREATMENT OPTIONS