Colon cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Pathologically proven colorectal adenocarcinoma with endoscopic biopsy specimen. (2) Tumor is mainly located between cecum and rectal sigmoid colon. (3) Diagnosed on contrast-enhanced abdominal/pelvic CT(= 1,500 /mm3 (b) Hemoglobin >= 8.0 mg/dL (c) Platelet count >= 100,000 /mm3 (d) AST =< 100 U/L (e) ALT =< 100 U/L (f) Total Bilirubin =< 2.0 mg/dL (g) Cr =< 1.5 mg/dL (11) Without ileus or bowel perforation. (12) Written informed consent is obtained.
Exclusion criteria
Exclusion criteria: (1) Synchronous or metachronous (within 5 years) malignancies (2) Infections which needs systemic treatment. (3) Body temperature is higher than 38 degrees centigrade at registration. (4) Female during pregnancy, within 28 days of postparturition, or during lactation. Male who wants partner's pregnancy. (5) Severe psychological disease. (6) Continuous systemic corticosteroid or immunosuppressant treatment. (7) Uncontrollable diabetes mellitus. (8) Uncontrollable hypertension. (9) Unstable angina pectoris, or history of myocardial infarction within 6 months. (10) Uncontrollable valvular heart disease, dilated cardiomyopathy, or hypertrophic cardiomyopathy. (11) Regularly using phenytoin. (12) Interstitial pneumonia, pulmonary fibrosis, severe emphysema diagnosed on chest CT.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Tumor Regression Score (TRS) 0-2 rate (Central diagnosis of pathology) | — |
Secondary
| Measure | Time frame |
|---|---|
| Overall survival, Progression-free survival, Local progression-free survival, Proportion of patients with R0 resection, Response rate of neoadjuvant chemotherapy, Incidence of adverse events, Incidence of severe adverse events, Incidence of surgical adverse events, Proportion of patients without combined resection of other organ, Pathological response rate of neoadjuvant chemotherapy (Japanease Classification of Colorectal, Appendiceal, and Anal Carcinoma, 9th edition), Tumor Regression Score (TRS) 0-2 rate (Facility diagnosis) | — |
Contacts
Niigata Cancer Center Hospital