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Chinese Journal of Colorectal Diseases(Electronic Edition) ›› 2025, Vol. 14 ›› Issue (02): 97-113. doi: 10.3877/cma.j.issn.2095-3224.2025.02.001

• Guideline and Consensus •     Next Articles

CACA guidelines for holistic integrative management of colon cancer (2024 Edition)

Anti-Cancer Association China, Committee of Colorectal Cancer CACA the   

  • Received:2024-10-18 Online:2025-04-25 Published:2025-05-12

Abstract:

CACA guidelines for holistic integrative management of colon cancer (2024 Edition)has been updated with full reference to the latest research results at home and abroad,and the opinions of experts in related fields have been widely integrated. In the epidemiology section,the incidence and mortality rates of colorectal cancer have been updated according to the latest research data from the National Cancer Center. In the screening section,the starting age of screening for the general population has been changed to 45 years old. In the diagnosis section,peripheral blood MSI testing is included as one of the available options for patients with limited pathologic access. In the surgery section,it is recommended that experienced centers routinely perform CME procedures; additional clarification is provided on the safety of the procedure of taking specimens through the natural cavity. In the internal medicine section,evidence-based medical evidence for immunotherapy was added,recommending that immunotherapy be considered as a treatment option for patients with dMMR/MSI-H; the role of ctDNA in postoperative adjuvant therapy decision-making was described; immunotherapy was recommended as one of the therapeutic options for patients with liver metastases from MSI-H; and double-immunotherapy with nabulizumab in combination with ipilimumab was recommended as one of the available options for palliative care. In the section on traditional Chinese medicine,the “principle of evidence-based treatment” is adjusted to “principle of combining disease diagnosis and treatment with evidence-based treatment”,and the content of evidence-based treatment during the prevention and treatment of colon cancer is added,as well as the application of non-pharmacological therapies in traditional Chinese medicine.

Key words: Colon, Guidelines, Surgical treatment, Internal medicine treatment, Radiotherapy, Traditional Chinese medicine treatment

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