Transcript The Colorectal Cancer Center Jena

The Colorectal Cancer Center Jena
Gharbi A, Settmacher U. Department of General, Visceral and Vascular Surgery, Friedrich-Schiller-University Jena
Introduction
In Germany, there are currently approximately 70 000 newly diagnosed patients with colorectal carcinoma each year, 60% of these have
distant metastases at the time of diagnosis.
The University Colorectal Cancer Center Jena will be certified in May 24th 2011 by the German Cancer Society (Deutsche Krebsgesellschaft).
In 2010, 104 patients with newly diagnosed colorectal carcinoma have been treated at the University Colorectal Cancer Center Jena.
It is the aim of the University Colorectal Cancer Center Jena to offer affected patients a multi-modal treatment concept with the best
possible options for cure by multidisciplinary cooperation
Cooperating partners and multidisciplinary cooperation
Contact point for patients with colorectal carcinoma is the daily surgical out-patient clinic and the specialized colorectal consultation once a
week on Friday. Possibility to have a second opinion through the University Tumor Center (UTC) out-patient clinic is given. After first
contact, patients will be included in special clinical pathways und discussed at a tumor board convening once per week (Monday) with all
cooperating and at the University Hospital Jena available clinical specialties participating, and a treatment concept according to guidelines
will be developed. Cooperation with the UTC occurs especially in documentation for tumorboard preparation. Data evaluation will
be done by the Clinical Cancer Registry.
Main cooperating partners:
• Department of General, Visceral and Vascular Surgery
• Department of Internal Medicine II – Subsection gastroenterology, hepatology, infectious diseases
• Department of Internal Medicine II – Subsection hematology, oncology
• Department of Radiation Therapy and Radio-oncology
• Institute for Pathology
• Institute for Diagnostic and Interventional Radiology
Other cooperating partners:
• Institute for Psychosocial Medicine and Psychotherapy (psycho-oncological patient care)
• Clinic for Pain and Palliative Care
• Clinic for Human Genetics (Center for Out-patient Care of the University Hospital Jena)
• Deutsche ILCO e.V. (patient´s advocacy group)
Specific competence and expertise
PET-CT: mesenteric recurrence of colorectal
carcinoma
The University Colorectal Cancer Center Jena offers patients with colorectal carcinoma state-of-the-art treatment options:
• Laparoscopic resections of colon and rectum carcinomas at early tumor stages
• Liver resections for metastatic disease (anatomical as well as extended and atypical)
• Sequential treatment for bilateral liver metastases (e.g. portal vein embolization, open or percutaneous radio frequency ablation)
Current clinical trials
The following clinical trials are currently underway at the University Colorectal Cancer Center Jena, recruiting patients with colorectal
carcinoma:
TRIAL NAME
TRIAL DESIGN
PETACC 6
Preoperative radio-chemotherapy and postoperative
chemotherapy with capecitabine and oxaliplatin vs.
capecitabine for locally advanced rectal carcinoma
PANTER
Perioperative chemotherapy for resectable colorectal
liver metastases with FOLFOX plus possibly cetuximab
vs. adjuvant chemotherapy with FOLFOX plus possibly
cetuximab
ML 22011
Capecitabine plus bevacizumab vs. capecitabine plus
irinotecan plus bevacizumab as first-line-treatment for
metastasizing (non-resectable) colorectal carcinoma
FIRE 3
Randomized phase II trial on the efficacy of FOLFIRI in
combination with cetuximab vs. bevacizumab as firstline-treatment for metastasizing colorectal carcinoma
Huge colorectal liver metastasis
Extented left hepatectomy
Conclusion
Colorectal carcinoma is the second-most frequent tumor disease (after bronchial and breast cancer,respectively) in Germany and the numbers
are increasing. An improvement of long-term and recurrence-free survival can only be achieved by further multidisciplinary cooperation of all
clinical specialties involved, by the establishment of multi-modal treatment concepts and by advances in research. The development of special
organ centers within the framework of UTC is the best way to reach this goal by standardizing pathways and treatment.
18.05.2011