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ESMO consensus guidelines for the management of patients with metastatic colorectal cancer.

Identifieur interne : 002009 ( PubMed/Checkpoint ); précédent : 002008; suivant : 002010

ESMO consensus guidelines for the management of patients with metastatic colorectal cancer.

Auteurs : E. Van Cutsem ; A. Cervantes [Espagne] ; R. Adam [France] ; A. Sobrero [Italie] ; J H Van Krieken [Pays-Bas] ; D. Aderka [Israël] ; E. Aranda Aguilar [Espagne] ; A. Bardelli [Italie] ; A. Benson [États-Unis] ; G. Bodoky [Hongrie] ; F. Ciardiello [Italie] ; A. D'Hoore [Belgique] ; E. Diaz-Rubio [Espagne] ; J-Y Douillard ; M. Ducreux [France] ; A. Falcone [Italie] ; A. Grothey [États-Unis] ; T. Gruenberger [Autriche] ; K. Haustermans [Belgique] ; V. Heinemann [Allemagne] ; P. Hoff [Brésil] ; C-H Köhne [Allemagne] ; R. Labianca [Italie] ; P. Laurent-Puig [France] ; B. Ma [Hong Kong] ; T. Maughan [Royaume-Uni] ; K. Muro [Japon] ; N. Normanno [Italie] ; P. Österlund [Finlande] ; W J G. Oyen [Royaume-Uni] ; D. Papamichael [Chypre (pays)] ; G. Pentheroudakis [Grèce] ; P. Pfeiffer [Danemark] ; T J Price [Australie] ; C. Punt [Pays-Bas] ; J. Ricke [Allemagne] ; A. Roth [Suisse] ; R. Salazar [Espagne] ; W. Scheithauer [Autriche] ; H J Schmoll [Allemagne] ; J. Tabernero [Espagne] ; J. Taïeb [France] ; S. Tejpar [Belgique] ; H. Wasan [Royaume-Uni] ; T. Yoshino [Japon] ; A. Zaanan [France] ; D. Arnold [Portugal]

Source :

RBID : pubmed:27380959

Abstract

Colorectal cancer (CRC) is one of the most common malignancies in Western countries. Over the last 20 years, and the last decade in particular, the clinical outcome for patients with metastatic CRC (mCRC) has improved greatly due not only to an increase in the number of patients being referred for and undergoing surgical resection of their localised metastatic disease but also to a more strategic approach to the delivery of systemic therapy and an expansion in the use of ablative techniques. This reflects the increase in the number of patients that are being managed within a multidisciplinary team environment and specialist cancer centres, and the emergence over the same time period not only of improved imaging techniques but also prognostic and predictive molecular markers. Treatment decisions for patients with mCRC must be evidence-based. Thus, these ESMO consensus guidelines have been developed based on the current available evidence to provide a series of evidence-based recommendations to assist in the treatment and management of patients with mCRC in this rapidly evolving treatment setting.

DOI: 10.1093/annonc/mdw235
PubMed: 27380959


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Le document en format XML

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<nlm:affiliation>Department of Medical Oncology, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.</nlm:affiliation>
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<name sortKey="Ricke, J" sort="Ricke, J" uniqKey="Ricke J" first="J" last="Ricke">J. Ricke</name>
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<nlm:affiliation>Department of Radiology and Nuclear Medicine, University Clinic Magdeburg, Magdeburg, Germany.</nlm:affiliation>
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<nlm:affiliation>Catalan Institute of Oncology (ICO), Barcelona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
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<nlm:affiliation>Department of Internal Medicine I and Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.</nlm:affiliation>
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<nlm:affiliation>Department of Internal Medicine IV, University Clinic Halle, Martin-Luther-University Halle-Wittenberg, Halle, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
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<country xml:lang="fr">Espagne</country>
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<settlement type="city">Barcelone</settlement>
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<nlm:affiliation>Digestive Oncology Department, European Hospital Georges Pompidou, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
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<nlm:affiliation>Digestive Oncology, University Hospitals Gasthuisberg Leuven and KU Leuven, Leuven, Belgium.</nlm:affiliation>
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<name sortKey="Wasan, H" sort="Wasan, H" uniqKey="Wasan H" first="H" last="Wasan">H. Wasan</name>
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<nlm:affiliation>Department of Cancer Medicine, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
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<settlement type="city">Londres</settlement>
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<name sortKey="Yoshino, T" sort="Yoshino, T" uniqKey="Yoshino T" first="T" last="Yoshino">T. Yoshino</name>
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<nlm:affiliation>Department of Gastroenterology and Gastrointestinal Oncology, National Cancer Center Hospital East, Chiba, Japan.</nlm:affiliation>
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<name sortKey="Zaanan, A" sort="Zaanan, A" uniqKey="Zaanan A" first="A" last="Zaanan">A. Zaanan</name>
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<nlm:affiliation>Digestive Oncology Department, European Hospital Georges Pompidou, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
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<nlm:affiliation>Instituto CUF de Oncologia (ICO), Lisbon, Portugal.</nlm:affiliation>
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<title xml:lang="en">ESMO consensus guidelines for the management of patients with metastatic colorectal cancer.</title>
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<name sortKey="Van Cutsem, E" sort="Van Cutsem, E" uniqKey="Van Cutsem E" first="E" last="Van Cutsem">E. Van Cutsem</name>
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<nlm:affiliation>Digestive Oncology, University Hospitals Gasthuisberg Leuven and KU Leuven, Leuven, Belgium clinicalguidelines@esmo.org.</nlm:affiliation>
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<name sortKey="Cervantes, A" sort="Cervantes, A" uniqKey="Cervantes A" first="A" last="Cervantes">A. Cervantes</name>
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<nlm:affiliation>Medical Oncology Department, INCLIVA University of Valencia, Valencia, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
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<name sortKey="Adam, R" sort="Adam, R" uniqKey="Adam R" first="R" last="Adam">R. Adam</name>
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<nlm:affiliation>Hepato-Biliary Centre, Paul Brousse Hospital, Villejuif, France.</nlm:affiliation>
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<nlm:affiliation>Medical Oncology, IRCCS San Martino Hospital, Genova, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
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<name sortKey="Van Krieken, J H" sort="Van Krieken, J H" uniqKey="Van Krieken J" first="J H" last="Van Krieken">J H Van Krieken</name>
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<nlm:affiliation>Research Institute for Oncology, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
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<settlement type="city">Nimègue</settlement>
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<nlm:affiliation>Division of Oncology, Sheba Medical Center, Tel Aviv University, Tel Aviv, Israel.</nlm:affiliation>
<country xml:lang="fr">Israël</country>
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<nlm:affiliation>Medical Oncology Department, University Hospital Reina Sofia, Cordoba, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
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<name sortKey="Bardelli, A" sort="Bardelli, A" uniqKey="Bardelli A" first="A" last="Bardelli">A. Bardelli</name>
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<nlm:affiliation>School of Medicine, University of Turin, Turin, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>School of Medicine, University of Turin, Turin</wicri:regionArea>
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<settlement type="city">Turin</settlement>
<region type="région" nuts="2">Piémont</region>
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<name sortKey="Benson, A" sort="Benson, A" uniqKey="Benson A" first="A" last="Benson">A. Benson</name>
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<nlm:affiliation>Division of Hematology/Oncology, Northwestern Medical Group, Chicago, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Hematology/Oncology, Northwestern Medical Group, Chicago</wicri:regionArea>
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<settlement type="city">Chicago</settlement>
<region type="state">Illinois</region>
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<name sortKey="Bodoky, G" sort="Bodoky, G" uniqKey="Bodoky G" first="G" last="Bodoky">G. Bodoky</name>
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<nlm:affiliation>Department of Oncology, St László Hospital, Budapest, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Department of Oncology, St László Hospital, Budapest</wicri:regionArea>
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<settlement type="city">Budapest</settlement>
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<nlm:affiliation>Division of Medical Oncology, Seconda Università di Napoli, Naples, Italy.</nlm:affiliation>
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<wicri:regionArea>Division of Medical Oncology, Seconda Università di Napoli, Naples</wicri:regionArea>
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<name sortKey="D Hoore, A" sort="D Hoore, A" uniqKey="D Hoore A" first="A" last="D'Hoore">A. D'Hoore</name>
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<nlm:affiliation>Abdominal Surgery, University Hospitals Gasthuisberg Leuven and KU Leuven, Leuven, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Abdominal Surgery, University Hospitals Gasthuisberg Leuven and KU Leuven, Leuven</wicri:regionArea>
<wicri:noRegion>Leuven</wicri:noRegion>
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<name sortKey="Diaz Rubio, E" sort="Diaz Rubio, E" uniqKey="Diaz Rubio E" first="E" last="Diaz-Rubio">E. Diaz-Rubio</name>
<affiliation wicri:level="3">
<nlm:affiliation>Medical Oncology Department, Hospital Clínico San Carlos, Madrid, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Medical Oncology Department, Hospital Clínico San Carlos, Madrid</wicri:regionArea>
<placeName>
<settlement type="city">Madrid</settlement>
<region nuts="2" type="region">Communauté de Madrid</region>
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</affiliation>
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<name sortKey="Douillard, J Y" sort="Douillard, J Y" uniqKey="Douillard J" first="J-Y" last="Douillard">J-Y Douillard</name>
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<nlm:affiliation>Medical Oncology, Institut de Cancérologie de l'Ouest (ICO), St Herblain.</nlm:affiliation>
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<name sortKey="Ducreux, M" sort="Ducreux, M" uniqKey="Ducreux M" first="M" last="Ducreux">M. Ducreux</name>
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<nlm:affiliation>Department of Medical Oncology, Gustave Roussy, Université Paris-Saclay, Villejuif, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Medical Oncology, Gustave Roussy, Université Paris-Saclay, Villejuif</wicri:regionArea>
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<wicri:noRegion>Villejuif</wicri:noRegion>
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<name sortKey="Falcone, A" sort="Falcone, A" uniqKey="Falcone A" first="A" last="Falcone">A. Falcone</name>
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<nlm:affiliation>Department of Medical Oncology, University of Pisa, Pisa, Italy Division of Medical Oncology, Department of Oncology, University Hospital 'S. Chiara', Istituto Toscano Tumori, Pisa, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Medical Oncology, University of Pisa, Pisa, Italy Division of Medical Oncology, Department of Oncology, University Hospital 'S. Chiara', Istituto Toscano Tumori, Pisa</wicri:regionArea>
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<settlement type="city">Pise</settlement>
<region nuts="2">Toscane</region>
<settlement type="city">Pise</settlement>
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<name sortKey="Grothey, A" sort="Grothey, A" uniqKey="Grothey A" first="A" last="Grothey">A. Grothey</name>
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<nlm:affiliation>Division of Medical Oncology, Mayo Clinic, Rochester, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Medical Oncology, Mayo Clinic, Rochester</wicri:regionArea>
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<name sortKey="Gruenberger, T" sort="Gruenberger, T" uniqKey="Gruenberger T" first="T" last="Gruenberger">T. Gruenberger</name>
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<nlm:affiliation>Department of Surgery I, Rudolfstiftung Hospital, Vienna, Austria.</nlm:affiliation>
<country xml:lang="fr">Autriche</country>
<wicri:regionArea>Department of Surgery I, Rudolfstiftung Hospital, Vienna</wicri:regionArea>
<placeName>
<settlement type="city">Vienne (Autriche)</settlement>
<region nuts="2" type="province">Vienne (Autriche)</region>
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<name sortKey="Haustermans, K" sort="Haustermans, K" uniqKey="Haustermans K" first="K" last="Haustermans">K. Haustermans</name>
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<nlm:affiliation>Department of Radiation Oncology, University Hospitals Gasthuisberg and KU Leuven, Leuven, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Radiation Oncology, University Hospitals Gasthuisberg and KU Leuven, Leuven</wicri:regionArea>
<wicri:noRegion>Leuven</wicri:noRegion>
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<author>
<name sortKey="Heinemann, V" sort="Heinemann, V" uniqKey="Heinemann V" first="V" last="Heinemann">V. Heinemann</name>
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<nlm:affiliation>Comprehensive Cancer Center, University Clinic Munich, Munich, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Comprehensive Cancer Center, University Clinic Munich, Munich</wicri:regionArea>
<placeName>
<region type="land" nuts="1">Bavière</region>
<region type="district" nuts="2">District de Haute-Bavière</region>
<settlement type="city">Munich</settlement>
</placeName>
</affiliation>
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<author>
<name sortKey="Hoff, P" sort="Hoff, P" uniqKey="Hoff P" first="P" last="Hoff">P. Hoff</name>
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<nlm:affiliation>Instituto do Câncer do Estado de São Paulo, University of São Paulo, São Paulo, Brazil.</nlm:affiliation>
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Instituto do Câncer do Estado de São Paulo, University of São Paulo, São Paulo</wicri:regionArea>
<placeName>
<settlement type="city">São Paulo</settlement>
<region type="state">État de São Paulo</region>
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</placeName>
<orgName type="university">Université de São Paulo</orgName>
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<name sortKey="Kohne, C H" sort="Kohne, C H" uniqKey="Kohne C" first="C-H" last="Köhne">C-H Köhne</name>
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<nlm:affiliation>Northwest German Cancer Center, University Campus Klinikum Oldenburg, Oldenburg, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Northwest German Cancer Center, University Campus Klinikum Oldenburg, Oldenburg</wicri:regionArea>
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<wicri:noRegion>Oldenburg</wicri:noRegion>
<wicri:noRegion>Oldenburg</wicri:noRegion>
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<name sortKey="Labianca, R" sort="Labianca, R" uniqKey="Labianca R" first="R" last="Labianca">R. Labianca</name>
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<nlm:affiliation>Cancer Center, Ospedale Giovanni XXIII, Bergamo, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Cancer Center, Ospedale Giovanni XXIII, Bergamo</wicri:regionArea>
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<name sortKey="Laurent Puig, P" sort="Laurent Puig, P" uniqKey="Laurent Puig P" first="P" last="Laurent-Puig">P. Laurent-Puig</name>
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<nlm:affiliation>Digestive Oncology Department, European Hospital Georges Pompidou, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Digestive Oncology Department, European Hospital Georges Pompidou, Paris</wicri:regionArea>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
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<author>
<name sortKey="Ma, B" sort="Ma, B" uniqKey="Ma B" first="B" last="Ma">B. Ma</name>
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<nlm:affiliation>Department of Clinical Oncology, Prince of Wales Hospital, State Key Laboratory in Oncology in South China, Chinese University of Hong Kong, Shatin, Hong Kong.</nlm:affiliation>
<country xml:lang="fr">Hong Kong</country>
<wicri:regionArea>Department of Clinical Oncology, Prince of Wales Hospital, State Key Laboratory in Oncology in South China, Chinese University of Hong Kong, Shatin</wicri:regionArea>
<orgName type="university">Université chinoise de Hong Kong</orgName>
<placeName>
<settlement type="city">Sha Tin</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Maughan, T" sort="Maughan, T" uniqKey="Maughan T" first="T" last="Maughan">T. Maughan</name>
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<nlm:affiliation>CRUK/MRC Oxford Institute for Radiation Oncology, Gray Laboratories, University of Oxford, Oxford, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>CRUK/MRC Oxford Institute for Radiation Oncology, Gray Laboratories, University of Oxford, Oxford</wicri:regionArea>
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<settlement type="city">Oxford</settlement>
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</placeName>
<orgName type="university">Université d'Oxford</orgName>
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<author>
<name sortKey="Muro, K" sort="Muro, K" uniqKey="Muro K" first="K" last="Muro">K. Muro</name>
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<nlm:affiliation>Department of Clinical Oncology and Outpatient Treatment Center, Aichi Cancer Center Hospital, Nagoya, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Clinical Oncology and Outpatient Treatment Center, Aichi Cancer Center Hospital, Nagoya</wicri:regionArea>
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<author>
<name sortKey="Normanno, N" sort="Normanno, N" uniqKey="Normanno N" first="N" last="Normanno">N. Normanno</name>
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<nlm:affiliation>Cell Biology and Biotherapy Unit, I.N.T. Fondazione G. Pascale, Napoli, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Cell Biology and Biotherapy Unit, I.N.T. Fondazione G. Pascale, Napoli</wicri:regionArea>
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<name sortKey="Osterlund, P" sort="Osterlund, P" uniqKey="Osterlund P" first="P" last="Österlund">P. Österlund</name>
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<nlm:affiliation>Helsinki University Central Hospital, Comprehensive Cancer Center, Helsinki, Finland Department of Oncology, University of Helsinki, Helsinki, Finland.</nlm:affiliation>
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<settlement type="city">Vienne (Autriche)</settlement>
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<nlm:affiliation>Department of Internal Medicine IV, University Clinic Halle, Martin-Luther-University Halle-Wittenberg, Halle, Germany.</nlm:affiliation>
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<wicri:regionArea>Department of Internal Medicine IV, University Clinic Halle, Martin-Luther-University Halle-Wittenberg, Halle</wicri:regionArea>
<wicri:noRegion>Halle</wicri:noRegion>
<wicri:noRegion>Halle</wicri:noRegion>
<wicri:noRegion>Halle</wicri:noRegion>
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<nlm:affiliation>Medical Oncology Department, Vall d' Hebron University Hospital, Vall d'Hebron Institute of Oncology (V.H.I.O.), Barcelona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Medical Oncology Department, Vall d' Hebron University Hospital, Vall d'Hebron Institute of Oncology (V.H.I.O.), Barcelona</wicri:regionArea>
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<settlement type="city">Barcelone</settlement>
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<name sortKey="Tejpar, S" sort="Tejpar, S" uniqKey="Tejpar S" first="S" last="Tejpar">S. Tejpar</name>
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<nlm:affiliation>Digestive Oncology, University Hospitals Gasthuisberg Leuven and KU Leuven, Leuven, Belgium.</nlm:affiliation>
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<name sortKey="Wasan, H" sort="Wasan, H" uniqKey="Wasan H" first="H" last="Wasan">H. Wasan</name>
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<nlm:affiliation>Department of Cancer Medicine, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, UK.</nlm:affiliation>
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<name sortKey="Yoshino, T" sort="Yoshino, T" uniqKey="Yoshino T" first="T" last="Yoshino">T. Yoshino</name>
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<nlm:affiliation>Department of Gastroenterology and Gastrointestinal Oncology, National Cancer Center Hospital East, Chiba, Japan.</nlm:affiliation>
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<name sortKey="Zaanan, A" sort="Zaanan, A" uniqKey="Zaanan A" first="A" last="Zaanan">A. Zaanan</name>
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<name sortKey="Arnold, D" sort="Arnold, D" uniqKey="Arnold D" first="D" last="Arnold">D. Arnold</name>
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<nlm:affiliation>Instituto CUF de Oncologia (ICO), Lisbon, Portugal.</nlm:affiliation>
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<title level="j">Annals of oncology : official journal of the European Society for Medical Oncology</title>
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<div type="abstract" xml:lang="en">Colorectal cancer (CRC) is one of the most common malignancies in Western countries. Over the last 20 years, and the last decade in particular, the clinical outcome for patients with metastatic CRC (mCRC) has improved greatly due not only to an increase in the number of patients being referred for and undergoing surgical resection of their localised metastatic disease but also to a more strategic approach to the delivery of systemic therapy and an expansion in the use of ablative techniques. This reflects the increase in the number of patients that are being managed within a multidisciplinary team environment and specialist cancer centres, and the emergence over the same time period not only of improved imaging techniques but also prognostic and predictive molecular markers. Treatment decisions for patients with mCRC must be evidence-based. Thus, these ESMO consensus guidelines have been developed based on the current available evidence to provide a series of evidence-based recommendations to assist in the treatment and management of patients with mCRC in this rapidly evolving treatment setting.</div>
</front>
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<Title>Annals of oncology : official journal of the European Society for Medical Oncology</Title>
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<ArticleTitle>ESMO consensus guidelines for the management of patients with metastatic colorectal cancer.</ArticleTitle>
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<AbstractText>Colorectal cancer (CRC) is one of the most common malignancies in Western countries. Over the last 20 years, and the last decade in particular, the clinical outcome for patients with metastatic CRC (mCRC) has improved greatly due not only to an increase in the number of patients being referred for and undergoing surgical resection of their localised metastatic disease but also to a more strategic approach to the delivery of systemic therapy and an expansion in the use of ablative techniques. This reflects the increase in the number of patients that are being managed within a multidisciplinary team environment and specialist cancer centres, and the emergence over the same time period not only of improved imaging techniques but also prognostic and predictive molecular markers. Treatment decisions for patients with mCRC must be evidence-based. Thus, these ESMO consensus guidelines have been developed based on the current available evidence to provide a series of evidence-based recommendations to assist in the treatment and management of patients with mCRC in this rapidly evolving treatment setting.</AbstractText>
<CopyrightInformation>© The Author 2016. Published by Oxford University Press on behalf of the European Society for Medical Oncology. All rights reserved. For permissions, please email: journals.permissions@oup.com.</CopyrightInformation>
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</Author>
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<LastName>Cervantes</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Medical Oncology Department, INCLIVA University of Valencia, Valencia, Spain.</Affiliation>
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<LastName>Adam</LastName>
<ForeName>R</ForeName>
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