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This issue of Hematology/Oncology Clinics of North America, devoted
to Colorectal Cancer, is edited by Dr. Leonard B. Saltz. Articles
in this issue include: Diet and Lifestyle Influences on Colorectal
Cancer; Diagnosis and Management of Germline and Somatic Mutations
in Mismatch Repair-deficient Colorectal Cancer; Adjuvant
Chemotherapy in Stage II, III, and Resected Stage IV Colon Cancer;
Predictive and Prognostic Markers in the Treatment of Colorectal
Cancer; Surgical Management of Hepatic Metastases of Colorectal
Cancer; Combination Therapies in Colorectal Cancer Treatment; A
Critical Look at Management of Peritoneal Metastases of Colorectal
Cancer; Non-surgical Management of Rectal Cancer; and Ablative
Therapies for Metastatic Colorectal Cancer.
Recent advances in the understanding of the biology of colorectal
cancer have radically transformed the treatment options available
to clinicians, leaving textbooks written only two years ago
completely out of date. This evidence-based and data-driven guide
presents reviews of cutting-edge therapies for colorectal cancer,
all articulated by leading experts in the field. This integrated
and focused consideration of colorectal management includes reviews
of cytotoxic chemotherapy, targeted biologic therapies, as well as
updates on adjuvant chemotherapy for colon cancer and combined
modality management of rectal cancers. Attention is also focussed
on the role of potentially curative multi-modality management of
liver metastases, with considerations of the role of liver
resection and discussions of non-surgical ablative therapies.
Supportive issues are also considered, including contributions from
experts in pain management and oncology nursing. The reviews
presented here are concise, up-to-date, and are organized with the
treating practitioner in mind.
Opening chapters outline contemporary thinking on the biology of
colorectal cancer, and methods of possible prevention utilizing
chemoprevention and screening. Subsequent chapters present
cutting-edge uses of cytotoxic chemotherapy and review the
potential for incorporating innovative biological therapy. Ample
consideration is given to practical issues related to colorectal
chemotherapy, specifically radiological evaluation of colorectal
cancer treatment and supporting patients through chemotherapy,
including pain management. The concluding chapter is devoted to the
exploration of and implications of emerging new drug paradigms
andtheir potential impact on colorectal cancer treatment. This
unique text offers the practitioner a concise, authoritative
reference, so that recent advancements and understanding may be
digested, disseminated, and rapidly applied to the treatment of the
colorectal cancer patient.
The rapid growth in the number of options available for the
management of colorectal cancer presents the clinician with new
opportunities and new complexities. An explosion of understanding
in the basic science that underlies both the disease and its
potential therapies has translated into remarkable technological
advances that can now be applied. So many specialties and
subspecialties have now been brought to bear that it is appropriate
to attempt to bring the expertise from these areas together in one
volume, so that practitioners in one aspect of colorectal cancer
management can maintain knowledge and expertise regarding the
capabilities of other colleagues working in this disease. Colo
rectal Cancer: Multimodality Management provides a concise,
focused, and current review of the methodological and technological
advances that have recently occurred in the management of
colorectal cancer. The book has been divided into six basic parts.
The first part, dealing with epidemiology and prevention, focuses
on the molecular genetic events that occur in the development of
colorectal cancer, as well as on our understanding of dietary and
environmental factors, and possible strategies for prevention. Part
II focuses on both diagnos tic and therapeutic radiology in the
management of colorectal cancer, dealing with innumer able advances
in imaging, and with the progress in the science and art of
radiation therapy. The third section deals with the surgical
aspects of management of colorectal cancer, starting with surgical
pathology.
The rapid growth in the number of options available for the
management of colorectal cancer presents the clinician with new
opportunities and new complexities. An explosion of understanding
in the basic science that underlies both the disease and its
potential therapies has translated into remarkable technological
advances that can now be applied. So many specialties and
subspecialties have now been brought to bear that it is appropriate
to attempt to bring the expertise from these areas together in one
volume, so that practitioners in one aspect of colorectal cancer
management can maintain knowledge and expertise regarding the
capabilities of other colleagues working in this disease. Colo
rectal Cancer: Multimodality Management provides a concise,
focused, and current review of the methodological and technological
advances that have recently occurred in the management of
colorectal cancer. The book has been divided into six basic parts.
The first part, dealing with epidemiology and prevention, focuses
on the molecular genetic events that occur in the development of
colorectal cancer, as well as on our understanding of dietary and
environmental factors, and possible strategies for prevention. Part
II focuses on both diagnos tic and therapeutic radiology in the
management of colorectal cancer, dealing with innumer able advances
in imaging, and with the progress in the science and art of
radiation therapy. The third section deals with the surgical
aspects of management of colorectal cancer, starting with surgical
pathology.
Management options for patients with colorectal cancer have
undergone d- matic changes over the past decade. Whereas at the
start of 1996 only one drug, 5-Fluorouracil, was available for the
treatment of this disease, a mere 10 yr later, six drugs are
licensed for use in colorectal cancer, and others are in the late
phases of clinical development. Likewise, surgical and ablative
options, as well as an array of supportive medications, have shown
substantial progress and undergone a dramatic proliferation over
the past decade. With the increased number of therapeutic options
from which to choose, the clinician is better able to offer
effective therapy to the patient with colorectal cancer. The
clinician is challenged, however, to keep up with the rapidly
changing landscape and the rapidly emerging data that shape the
options for treatment today and tom- row. In this text, leaders in
the management of colorectal cancer review the current literature
that has led us to where we are today. Critical evaluations of the
data are offered, and evidence-based recommendations are made.
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