7
ASCO Resource Levels
Strength of
Recommendation Basic Limited Enhanced Maximal
Clinicians should provide symptom control and establish a
management plan with multi-disciplinary approach
Strong
Surgical evaluation Strong
If resectable, and urgent surgery required due to obstruction or
bleeding : surgery of primary tumor
Strong
If unresectable, unable to do biopsy due to clinical scenario, go to
ASCO Palliative Care Guidelines
Strong
Transfusion + surgery of
primary tumor
Transfusion + multi-
disciplinary specialized
evaluation
Strong
