Chemoradiotherapy Sequenced Radical Surgery for Colorectal Cancer With PALNM

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-70
SponsorQilu Hospital of Shandong University

About this trial

In left-sided colon and rectal cancer, the occurrence of synchronous para-aortic lymph node metastasis is rare, with the incidence of being approximate 1-2%. Currently, there has been no standard treatment strategy for this situation. The present trial is designed to evaluate the safety and efficacy of para-aortic lymph node dissection for left-sided colon and rectal cancer with synchronous para-aortic lymph node metastasis

Eligibility criteria

Qualifiers

age at enrollment is ≥ 18 and ≤ 75 years

ECOG PS 0-1

histologically confirmed left-sided colon and rectal carcinoma

synchronous para-aortic lymph node metastases confirmed by PET-CT, and located below the level of renal veins and above the bifurcation of iliac artery

Disqualifiers

local invasion or distant metastasis other than para-aoritc lymph nodes

history of other malignant tumor

coupled with severe systematic diseases (recent myocardial infarction, cardiomyopathy, or acute pulmonary infection)

emergency surgery

Trial design

Treatments tested in this trial

  • Radical surgery with PALND
  • Radical surgery without PALND

Treatment groups

40 Participants
are divided into 2 treatment groups