Metastatic Colorectal Cancer. First Line Therapy for Unresectable Disease.
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Identificadores
URI: http://hdl.handle.net/20.500.11940/16370
PMID: 33265959
DOI: 10.3390/jcm9123889
ISSN: 2077-0383
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Fecha de publicación
2020Título de revista
Journal of Clinical Medicine
Tipo de contenido
Journal Article
Resumen
Colorectal cancer (CRC) is a commonly diagnosed malignancy. The prognosis of patients with unresectable, metastatic colorectal cancer (mCRC) is dismal and medical treatment is mainly palliative in nature. Although chemotherapy remains the backbone of treatment, the landscape is changing with the understanding of its heterogeneity and molecular biology. First-line therapy relies on a combination of chemotherapy and targeted therapies, according to clinical patient characteristics and tumor molecular profile. Here we review current evidence from randomized clinical trials for using chemotherapy doublets or triplets, and for the addition of bevacizumab or anti-epidermal growth factor receptor (EGFR) agents. Novel therapies developed for small, selected populations are also discussed.
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