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COLON (linkovi (ppt (http://www.primeoncology.org/online-education/solid…
COLON
linkovi
ppt
http://www.primeoncology.org/online-education/solid-tumor/masterclass-colorectal-cancer-japan-2017-slides/kohne/
http://imedex.com/gi-malignancies-debate-conference/archive/2017/agenda.asp
video
https://www.youtube.com/watch?v=2wAg-V9hBak
NCI
https://www.cancer.gov/types/colorectal/hp
nature premijer
http://sci-hub.tw/10.1038/nrdp.2015.66
http://sci-hub.tw/10.1038/nrdp.2015.65
NCI
https://www.cancer.gov/types/colorectal/hp/colon-treatment-pdq#link/_125
Općenito
Disperzija
Prevencija
CALGB
tjelovježba
aspirin
smanjuje upalu, angiogenezu
trilsi za 40% pov CSS
vit D
CSS 40%, 2poz (RCT), 3 neg (RCT), manje studije poz HR 0.60
prediktivni čimmbenici
th toxičnost
DPD
UGT1A1
incidencija
među najčešćim
vršak 60 godina
razvijene zemlje viša
od 40 do 60/100000
https://www.youtube.com/watch?v=C3lWwBslWqg
https://www.youtube.com/watch?v=uDcQbk78CSw&t=14s
Hr 3000 godišnje
https://www.youtube.com/watch?v=BNAgri-C8Y0
etiološki
Th
modaliteti
OP
vrste
radikalne
palijativne
borderline
kemoth
EPOC, nev EPOC FOLFOX+bev, PFS SS kod borderline EPOC
3 ckl FOLFOX+/- biološka th
EORTC BOS2
https://www.google.ba/search?q=eortc+BOS2&source=lnms&tbm=isch&sa=X&ved=0ahUKEwiO1djd6MTZAhUG66QKHRK6CVgQ_AUICigB&biw=1229&bih=607#imgrc=R3g1KmNEl4mHnM
:
EORTC 40983
https://www.google.ba/search?q=EORTC+40983&source=lnms&tbm=isch&sa=X&ved=0ahUKEwip3MWt6MTZAhUKDewKHUCBDiUQ_AUICigB&biw=1229&bih=607#imgrc=3PJ32iI7al7iTM
:
https://www.google.ba/search?q=EORTC+40983&source=lnms&tbm=isch&sa=X&ved=0ahUKEwip3MWt6MTZAhUKDewKHUCBDiUQ_AUICigB&biw=1229&bih=607#imgrc=b6GTmA0U3G8sQM
:
adjuvantna
kemoth
studije
Oxali, level
MOSAIC, 96 ne efektivna, 40% ima neuropatiju
2200 pts, DFS 20%, OS 20%
MRC C-07
XELOXA
stariji
ACIENT, nSS DFS, OS
Heler,, poz OS, DFS
ako su dobrog općeg stanja, maratonci
meta analize
neg
IMPAKT
Kanadska
Intergrup
poz
SEER analiza
QUASAR
prog neg, +PFS
meta analiza, 3000 pts, 7 studija
benefit apsolutni OS 5%, DFS 12%
adj th
Inetrgrop 035, Moertel, 1900, prvi dokazi BENEFITa
https://www.google.ba/search?q=Intergroup+035+study&tbm=isch&source=lnms&sa=X&ved=0ahUKEwjBneXv4sTZAhWIsKQKHUEuCl0Q_AUICigB&biw=1229&bih=607&dpr=1.56#imgrc=YKmOj4oRafQMwM
:
Intergruo 0089
https://www.google.ba/search?q=Intergroup+0089&source=lnms&tbm=isch&sa=X&ved=0ahUKEwjvjYah48TZAhWIzKQKHXhEDf0Q_AUICigB&biw=1229&bih=607#imgrc=KcNGankgoOq3YM
:
Gill, 2004, +DFS s dodatkom kemoth
https://www.google.ba/search?q=gill+2004+et+al+colon+cancer&source=lnms&tbm=isch&sa=X&ved=0ahUKEwi9lsPl48TZAhVC6qQKHSLXBIoQ_AUICigB&biw=1229&bih=607#imgrc=VUK3cyPTSf2JHM
:
kapecitabin
XACT
https://www.google.ba/search?q=XACT+study&tbm=isch&source=lnms&sa=X&ved=0ahUKEwj7pK7W5MTZAhXKzaQKHf8-ACQQ_AUICigB&biw=1229&bih=607&dpr=1.56#imgrc=VfvBNum-iF70LM
:
FLOX
NABP C07
https://www.google.ba/search?q=NSABP+c+07&source=lnms&tbm=isch&sa=X&ved=0ahUKEwjk3Nrk6sTZAhXMDewKHV0PBfoQ_AUICigB&biw=1229&bih=607#imgrc=I8d6iLuCISrC5M
:
prognostički čimbenici
standardni
analiza
trajanje terapije
IDEA ptojekt, st III, <12000 pts, t3/T41
T3N1
6 mj 5FU/LV
3 mj FOLFOX
T4N2
6mj FOLFOX
neuspjesi
radioterrapija
intergrup
metastaski
inoperabilni
sistemska th
stanična
kemoterapija
općenito
vrste
ihodi
način davanja
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mix
vrste
2 more items...
peritonum sekundarizmi
općenito
4 more items...
studije
5 more items...
novi klinci
TAS 102
2 more items...
Irinotekan
CALGB C89803
3 more items...
kemoth
FOLFOXIRI
2 more items...
target terapiju
VGFR
lijekovi
4 more items...
EGFR
lijekovi
2 more items...
mix
studije
4 more items...
HER
poz 5%
studije
2 more items...
BRAF
BEACON, f2, 34 pts, BRAF+MEK, poz impuls, RR
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10-15%
predavanje
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holiday
KT pa obs
COIN -cap/5FOLOX 12tj-kt vs obs
1 more item...
OPTIMOX-FOLFOX-samo ona nije poz
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MRC-5FU/LV
1 more item...
GISCAD-FOLFIRI
1 more item...
KT 12 tj
KT pa intermitentni Ox
OPTIMOX1- FOLFOX+bev do PD vs 5FU/LV 12 tj pa FOLFOX
1 more item...
CONCEPT-FOLFOX+bev do PD vs 5FU/LV 16tj pa alternacija FOLFOX
1 more item...
OPTIMOC, MRC COIN, NO 1966
BEZ Oxali LOŠIJI ISHOD
okoliš
CPI
PD1
Nivo
2 more items...
Penbro
4 more items...
PDL1
Atezo - cobi, MSS, 80 pts, RR7%, 12 mj OS 40% (regora 20%)
u tijeku, IMBlaze 370, f3 (Atezo+cobi), 2 L kemoth prethodno
1 more item...
1L
1 more item...