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1. End Stage Metastatic Colorectal Carcinoma Dr. Michael Noble
Medical Oncologist
New Westminster, BC
2. Learning Objectives As a result of reading the following case study, physicians will be able to:
Review the palliative treatment of heavily pre-treated metastatic colon cancer
Describe treatment options with chemotherapy in addition to biological therapies that would be reasonable considerations
Discuss dealing with unrealistic expectations of patients and their families
3. Dr. J.M. 68yo retired English professor
Otherwise healthy, history of hypertension controlled with Adalat XL®
Presented with near obstructing lesion sigmoid colon… opted for primary resection and defunctioning ostomy.
4. Dr. J.M. Liver and lung metastases on presentation Underwent chemotherapy using FOLFIRI Good response for 16 months with intermittent breaks from chemotherapy