Kishiwada Tokushukai Hospital > Lower GI Surgery > Systemic Chemotherapy

Systemic Chemotherapy

Treatment
Systemic chemotherapy for unresectable colorectal cancer

Target conditions
Colon cancer and rectal cancer

Treatment goal
Prolong survival while maintaining quality of life

When colon or rectal cancer is considered unresectable,
systemic chemotherapy is introduced based on established clinical guidelines.
Treatment aims to control disease progression, improve survival outcomes,
and maintain quality of life.

Overview

Systemic chemotherapy is used for patients with advanced colorectal cancer
that cannot be completely removed by surgery at the time of diagnosis.
Treatment regimens are selected according to tumour characteristics,
molecular profile, and overall patient condition.

Treatment plans are individualised and may include combination chemotherapy
and targeted agents, in accordance with current clinical guidelines.

When surgery may become possible

In some patients, chemotherapy can reduce tumour size and extent.
If the disease becomes resectable, curative surgery may be considered.

Treatment response is assessed with imaging and clinical evaluation,
and surgical options are discussed when appropriate.

Supportive care and quality of life

Chemotherapy is provided alongside supportive care to maintain quality of life.
We work in collaboration with the Palliative Care Team
to address treatment-related symptoms and overall well-being.

  • Symptom management: pain, nausea, fatigue, and other side effects
  • Daily life support: nutrition, activity, and functional status
  • Shared decision-making: aligning treatment with patient goals and preferences

Treatment is adjusted to balance effectiveness, tolerability, and individual priorities.

Appointment

Appointments are required in principle. A referral letter from another medical institution is recommended but not mandatory.

For appointment requests and language support, please see the
Lower GI Surgery page.