Would you recommend 3 or 6 months adjuvant chemo for low risk Stage III sigmoid cancer (T3/N1), but with positive LVI and PNI?

Would presence of features considered high risk in stage II sway your interpretation of the IDEA trial?

2 Answers

Mednet Member

Medical Oncology · University of Texas MD Anderson Cancer Center

Answered on

I would recommend 3 months of CAPOX in this case. For a patient with stage III colon cancer, the presence of LVI and PNI should not influence the treatment plan.

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Mednet MemberInvited Expert

Medical Oncology · Rutgers Cancer Institute of New Jersey

Answered on

I agree overall with my colleagues from MD Anderson and USC, but would be more emphatic that 3 months of Cape-OX is sufficient. LVI and PNI differentiation are inconsistent pathologic "markers" which generally are not of consistent significance in multi-variate analyses across trials. We should reca...

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