Challenges in Management of Colon Cancer

F. Chite Asirwa, MB ChB. MD.Asst. Professor of Medicine

Division of Hematology/Oncology

Indiana University

Email: fasirwa@iu.edu

Director, AMPATH Oncology and Hematology @ MTRH & Beacon Health Services, Nairobi

Visiting Faculty Moi University School Of Medicine

Beacon Health Services 1

Disclosures

No Conflict of Interest to disclose

Colorectal Cancer: By Decades

Stage IV CRC: 2005

Beacon Health Services 5

Multidisciplinary team• Colorectal Surgeon• Gastroenterologist• Genetic Counselor• Interventional Radiologist• Medical Oncologist• Pathologist• Radiologist• Palliative care• Oncology Nurse• Oncology Pharmacist• Medical Social Worker• Nutritionist• Primary Physician etc etc

Beacon Health Services 6

Improved Staging

Number LN Evaluated and Recurrence

Other Interventions

• Laparoscopic colectomy• Metastatectomy

– Liver Mets– Lung Mets

• Other Modalities– TACE– RFA– etc

Beacon Health Services 9

10 Year Survivors Following Hepatic Metastasectomy

Beacon Health Services 11

KRAS and CRC treatment

Conclusions• Screening• Diagnostics/Pathology• Surgery• Chemotherapy and Biologic agents• Radiotherapy• Survivorship care• Palliative care• Colostomy bags/Patient support groups• Clinical Trials Beacon Health Services 13

Thanks to Novartis for facilitating my attendance to this KESHO conference.

To All the attendees and Organizers

Beacon Health Services 14