From: Peri-operative chemotherapy in the management of resectable colorectal cancer pulmonary metastases
Patients who received chemotherapy | |
---|---|
(n = 38 patients undergoing 56 resections) | |
Timing of treatment | |
Chemotherapy plus targeted agent | n = 11 resections (in 9 patients) |
Neoadjuvant plus adjuvant | 7 (64%) |
Neoadjuvant alone | 4 (36%) |
Adjuvant alone | 0 |
Chemotherapy alone | n = 38 resections (in 29 patients) |
Neoadjuvant plus adjuvant | 15 (39%) |
Neoadjuvant alone | 13 (34%) |
Adjuvant alone | 10 (26%) |
None* | n = 7 resections |
Type of systemic treatment | |
Targeted agents | n = 11 resections (in 9 patients) |
Bevacizumab | 8 |
Cetuximab | 2 |
Sunitinib | 1 |
Chemotherapy alone | n = 38 resections (in 29 patients) |
Oxaliplatin | 22 |
Irinotecan | 6 |
Mitomycin | 5 |
5FU/Cape alone | 5 |
Number of cycles | Median (range) |
Pre-operative | 4 (2–12) |
Targeted agents | 6 (4–12) |
Chemo alone | 4 (2–8) |
Post-operative | 5 (2–12) |
Targeted agents | 6 (4–12) |
Chemo alone | 4 (2–12) |
Chemotherapy-related complications | |
Pre-operative | 9 events (8 patients) |
G3/4 neutropenia | 2 |
G3/4 Thrombocytopenia | 1 |
≥G2 neuropathy | 2 |
G3/4 diarrhoea | 1 |
G3/4 Chest pain | 2 |
G3 VTE (DVT) | 1 |
Post-operative | 19 events (14 patients) |
G3/4 neutropenia | 4 |
G3/4 Thrombocytopenia | 1 |
≥G2 neuropathy | 3 |
G3/4 diarrhoea | 3 |
G3 fatigue | 2 |
G3 infection | 1 |
G3 GI bleed | 1 |
G3 PPE | 1 |
G3 stomatitis | 1 |
G3 nausea | 1 |
VTE (pulmonary embolism) | 1 |