RT Book, Section A1 Lynn, Patricio B. A1 Keskin, Metin A1 Garcia-Aguilar, Julio A2 Morita, Shane Y. A2 Balch, Charles M. A2 Klimberg, V. Suzanne A2 Pawlik, Timothy M. A2 Posner, Mitchell C. A2 Tanabe, Kenneth K. SR Print(0) ID 1145762934 T1 Metastatic Colorectal Cancer T2 Textbook of Complex General Surgical Oncology YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9780071793315 LK hemonc.mhmedical.com/content.aspx?aid=1145762934 RD 2024/04/16 AB Metastasis is defined as the spread of malignant cells from a primary tumor to a distant organ. It is estimated that 90% of all cancer deaths are a result of metastasis.1 Colorectal cancer (CRC) can metastasize to regional lymph nodes, liver, lung, or the peritoneal surface, and less frequently to other organs such as ovaries, brain, and bone. While CRC with locoregional lymphatic spread is categorized as stage III disease (5-year overall survival (OS) 70.4%), CRC with spread to distant organs is categorized as stage IV—or metastatic—CRC (CRCm) and carries a significantly worse prognosis (5-year OS 12.3%).2