Clinical Pharmacy oncology

Colon cancer

Topic overview

Start with the big picture

The lesson begins with epidemiology, risk and protective factors, and screening approaches for people at average risk. It then covers tumor location and molecular subtypes, including the clinical relevance of MSI-H/dMMR and RAS or BRAF V600E findings. TNM stage guides the broad treatment pathway: adjuvant chemotherapy is considered in stage II–III disease, while stage IV care may involve systemic therapy and selected procedures. The treatment overview includes established chemotherapy combinations, targeted agents, and immunotherapy options, alongside selected stage II high-risk features. Drug-safety topics include oxaliplatin neuropathy, fluoropyrimidine toxicities and DPD deficiency screening, and irinotecan-related concerns. This preview introduces those themes; the full lesson develops them in greater detail.

Learning objectives

What you'll learn

  • Identify major colon cancer risk factors, protective factors, and average-risk screening approaches.
  • Explain how tumor location and selected biomarkers relate to prognosis and treatment selection.
  • Describe how TNM stage frames adjuvant and metastatic treatment approaches.
  • Recognize key toxicities and pharmacogenomic considerations associated with selected therapies.
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Work through the complete notes and reinforce the topic with the study tools available in the full lesson.

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