ASCO GUIDELINES Bundle

Treatment of Early-Stage Colorectal Cancer

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5 Table 4. Colon Cancer Stages IIB-IIC: T3N0 Obstructing or T4N0 (Obstructing) Population Intervention Setting Patients with obstructing, locally advanced (ie., with invasion of adjacent structures) resectable colon cancer General surgeons should perform emergency resection and/or diversion (if resection is not possible) if feasible following standard oncologic principles. (Strong Recommendation; H) Basic Patients with obstructing, locally advanced (ie., with invasion of adjacent structures) resectable colon cancer General surgeons should perform emergency surgical resection and/or diversion following standard oncologic principles. (Strong Recommendation; H) Limited Patients with obstructing, locally advanced (ie., with invasion of adjacent structures) resectable colon cancer Surgical oncologists and/or colorectal surgeons should perform emergency surgical resection and/or diversion following standard oncologic principles. (Strong Recommendation; H) Enhanced Patients with obstructing, locally advanced (ie., with invasion of adjacent structures) resectable colon cancer For le-sided obstructing colon cancers, surgical oncologists and/or colorectal surgeons with specialist skills/training may place a colonic stent. (Strong Recommendation; H) Enhanced and Maximal Patients with obstructing, locally advanced (ie., with invasion of adjacent structures) resectable colon cancer Surgical oncologists and/or colorectal surgeons should perform emergency surgical resection and/or diversion following standard oncologic principles using the most advanced techniques. (Strong Recommendation; H) Maximal

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