[Use of maintenance therapy and complete discontinuation for therapeutic management of non-resectable metastatic colorectal cancer].

Abstract:

:Management of unresectable metastatic colorectal cancer dramatically changed over the past 20 years. News standards of care combine cytotoxic drugs like fluoropyrimidines, irinotecan and oxaliplatin, with targeted therapies such as anti-EGFR monoclonal antibodies and anti-angiogenic agents. Survival benefit results from these new options but correlates with more exposure to chemotherapy and cumulative toxicities. The main concern for these patients remains to find the optimal balance between efficacy, toxicity and quality of life. This article reviewed the main studies designed to evaluate the concept of maintenance therapy after induction chemotherapy and discontinuation strategy. Available therapeutic standards and options to shorten duration of chemotherapy and reduce toxicities are reported and discussed.

journal_name

Bull Cancer

journal_title

Bulletin du cancer

authors

Senellart H,Hiret S,Guerin-Meyer V,Bennouna J

doi

10.1684/bdc.2014.1984

subject

Has Abstract

pub_date

2014-06-01 00:00:00

pages

619-25

issue

6

eissn

0007-4551

issn

1769-6917

pii

bdc.2014.1984

journal_volume

101

pub_type

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    authors: Vandentorren S,Salmi LR,Brochard P

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    authors: Berlie J,Tournade MF,Chauvergne J,Bastien H

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    doi:

    authors: Besse B,Spano JP

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    doi:

    authors: Boldogh I,Gönczöl E,Gärtner L,Vaczi L,Michelson S

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    doi:

    authors: Le Chevalier T,Le Cesne A,Arriagada R

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    doi:

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    doi:

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    doi:

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    doi:

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    pub_type: 杂志文章

    doi:

    authors: Coppey J,Moreno G,Nocentini S

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    authors: Winkelmann JJ,Alberto P,Mermillod B

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