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. 2020 May 6;11(Suppl 1):3–10. doi: 10.1007/s13193-020-01082-x
SL No Subtypes Recommendations by - ACS, SSO. Non-surgical options -A Surgical Options -B
1. Benign/premalignant lesions (polyps) Defer surgery Defer surgery
2 Early stage colon cancer Defer surgery Defer Surgery
3 Locally advanced colon and Metastatic colon Cancer Neoadjuvant therapy Neoadjuvant therapy/ Oral capacetabine only Defer surgery until progression or emergency indications
4 Rectal cancer (all stages) Neoadjuvant CT+ RT (Prefer short course radiotherapy over long course radiotherapy) Neoadjuvant therapy/ Oral capacetabine Defer surgery until progression or emergency indications
Delay surgery for 12–16 weeks post neoadjuvant therapy Post neoadjuvant treatment after 8–10 weeks- oral capecitabine
5 Emergency indications (Obstruction/perforation/bleeding) Emergency surgery (Diversion stoma or resection of primary depending on intraoperative findings and hospital resources) Emergency surgery (Diversion stoma or resection of primary depending on intraoperative findings)