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Surgical resection of primary colon cancer

Miguel A Rodriguez-Bigas, MD
Section Editor
Martin Weiser, MD
Deputy Editor
Wenliang Chen, MD, PhD


The majority of primary cancers arising in the colon are adenocarcinomas. A surgical resection is the only curative treatment modality for localized colon cancer. The goal of surgical resection of primary colon cancer is complete removal of the tumor, the major vascular pedicles, and the lymphatic drainage basin of the affected colonic segment. En bloc resection of contiguous structures is indicated if there is attachment or infiltration of the tumor into a potentially resectable organ or structure. Patients with symptoms of complicated disease (eg, obstruction, perforation) may require a staged approach to resection.

Surgical resection may also be indicated in selected patients with limited potentially resectable metastatic disease in the liver and/or lung. (See "Management of potentially resectable colorectal cancer liver metastases" and "Surgical resection of pulmonary metastases: Benefits, indications, preoperative evaluation and techniques".)

The surgical management of the primary in patients with localized colon cancer is reviewed here. The epidemiology, clinical presentation, staging, and medical therapies used to treat colon cancer (eg, chemotherapy, radiation therapy), surgical treatment of metastatic disease, issues surrounding resection of the primary site in patients who present with metastatic disease, and prognosis following treatment of localized colon cancer are reviewed separately:

(See "Colorectal cancer: Epidemiology, risk factors, and protective factors".)

(See "Clinical presentation, diagnosis, and staging of colorectal cancer".)


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Literature review current through: Sep 2016. | This topic last updated: Jun 16, 2016.
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