
{"id":4386,"date":"2025-09-01T21:14:24","date_gmt":"2025-09-01T17:44:24","guid":{"rendered":"https:\/\/gimed.ir\/Colorectal-cancer\/?p=4386"},"modified":"2025-09-01T21:16:17","modified_gmt":"2025-09-01T17:46:17","slug":"treatment-of-potentially-resectable-disease","status":"publish","type":"post","link":"https:\/\/gimed.ir\/Colorectal-cancer\/treatment-of-potentially-resectable-disease\/","title":{"rendered":"Treatment of (Potentially) Resectable Disease"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"4386\" class=\"elementor elementor-4386\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c74aab5 e-flex e-con-boxed e-con e-parent\" data-id=\"c74aab5\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-d14196f e-con-full e-flex e-con e-child\" data-id=\"d14196f\" data-element_type=\"container\">\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-03c9282 e-con-full e-flex e-con e-child\" data-id=\"03c9282\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-95c0728 elementor-widget elementor-widget-text-editor\" data-id=\"95c0728\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p dir=\"ltr\" style=\"text-align: right;\"><b>\u062f\u0631\u0645\u0627\u0646 \u062f\u0631 \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u0628\u0627 \u0645\u062a\u0627\u0633\u062a\u0627\u0632 \u0642\u0627\u0628\u0644 \u0628\u0631\u062f\u0627\u0634\u062a<\/b><\/p><ul dir=\"ltr\"><li style=\"text-align: right;\">\u062f\u0631 \u0628\u06cc\u0645\u0627\u0631\u0627\u0646\u06cc \u06a9\u0647 <b>\u0645\u062a\u0627\u0633\u062a\u0627\u0632 \u0642\u0627\u0628\u0644 \u0628\u0631\u062f\u0627\u0634\u062a <\/b>\u062f\u0627\u0631\u0646\u062f \u0648 \u0645\u0639\u06cc\u0627\u0631\u0647\u0627\u06cc \u067e\u06cc\u0634\u200c\u0622\u06af\u0647\u06cc \u0645\u0637\u0644\u0648\u0628 \u0647\u0645\u0631\u0627\u0647 \u0628\u0627 \u0627\u0645\u06a9\u0627\u0646 \u062c\u0631\u0627\u062d\u06cc \u0645\u0646\u0627\u0633\u0628 \u0648\u062c\u0648\u062f \u062f\u0627\u0631\u062f\u060c \u0645\u0645\u06a9\u0646 \u0627\u0633\u062a \u0646\u06cc\u0627\u0632 \u0628\u0647 \u062f\u0631\u0645\u0627\u0646 \u0633\u06cc\u0633\u062a\u0645\u06cc\u06a9 \u067e\u0631\u06cc\u200c\u0627\u067e\u0631\u0627\u062a\u06cc\u0648 (Perioperative systemic therapy) \u0646\u0628\u0627\u0634\u062f. (III, B)<\/li><li style=\"text-align: right;\">\u062f\u0631 \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u0628\u0627 \u0645\u062a\u0627\u0633\u062a\u0627\u0632 \u0642\u0627\u0628\u0644 \u0628\u0631\u062f\u0627\u0634\u062a\u060c \u062f\u0631 \u0634\u0631\u0627\u06cc\u0637\u06cc \u06a9\u0647 \u0648\u0636\u0639\u06cc\u062a \u067e\u06cc\u0634\u200c\u0622\u06af\u0647\u06cc <b>\u0646\u0627\u0645\u0634\u062e\u0635<\/b> \u0627\u0633\u062a\u060c \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0627\u0632 <b>\u0634\u06cc\u0645\u06cc\u200c\u062f\u0631\u0645\u0627\u0646\u06cc \u0645\u0628\u062a\u0646\u06cc \u0628\u0631 \u0627\u06a9\u0633\u0627\u0644\u06cc\u200c\u067e\u0644\u0627\u062a\u06cc\u0646 \u062f\u0631 \u062f\u0648\u0631\u0647 \u067e\u0631\u06cc\u200c\u0627\u067e\u0631\u0627\u062a\u06cc\u0648<\/b> \u062a\u0648\u0635\u06cc\u0647 \u0645\u06cc\u200c\u0634\u0648\u062f. (II, B)<\/li><li style=\"text-align: right;\">\u062f\u0631 \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 <b>RAS-WT <\/b><b>\u0628\u0627 \u062a\u0648\u0645\u0648\u0631 \u0633\u0645\u062a \u0686\u067e \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af<\/b>\u060c \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0627\u0632 <b>\u0622\u0646\u062a\u06cc\u200c\u0628\u0627\u062f\u06cc\u200c\u0647\u0627\u06cc \u0645\u0648\u0646\u0648\u06a9\u0644\u0648\u0646\u0627\u0644 \u0636\u062f <\/b><b><\/b><b>EGFR<\/b> \u0628\u0647\u200c\u0639\u0646\u0648\u0627\u0646 <b>\u062f\u0631\u0645\u0627\u0646 \u062a\u0628\u062f\u06cc\u0644\u06cc (<\/b><b>Conversion therapy<\/b><b>)<\/b> \u062a\u0648\u0635\u06cc\u0647 \u0645\u06cc\u200c\u0634\u0648\u062f\u060c \u0632\u0645\u0627\u0646\u06cc \u06a9\u0647 \u0647\u062f\u0641 <b>\u0628\u0631\u062f\u0627\u0634\u062a \u06a9\u0627\u0645\u0644 (<\/b><b>Complete resection<\/b><b>)<\/b> \u0627\u0633\u062a. (II, A)<\/li><li style=\"text-align: right;\">\u062f\u0631 \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u0628\u0627 <b>\u062a\u0648\u0645\u0648\u0631 \u0633\u0645\u062a \u0631\u0627\u0633\u062a \u0648\/\u06cc\u0627 \u0628\u06cc\u0645\u0627\u0631\u06cc \u0628\u0627<\/b> <b>\u062c\u0647\u0634 <\/b><b>RAS<\/b>\u060c \u0631\u0698\u06cc\u0645 <b>FOLFOXIRI <\/b><b>\u0628\u0647 \u0647\u0645\u0631\u0627\u0647 \u0628\u0648\u0627\u0633\u06cc\u0632\u0648\u0645\u0627\u0628<\/b> (\u0648 \u062f\u0631 \u062d\u062f \u06a9\u0645\u062a\u0631\u060c \u0634\u06cc\u0645\u06cc\u200c\u062f\u0631\u0645\u0627\u0646\u06cc \u062f\u0648\u0628\u0644 + \u0628\u0648\u0627\u0633\u06cc\u0632\u0648\u0645\u0627\u0628) \u0628\u0647\u200c\u0639\u0646\u0648\u0627\u0646 \u0628\u0647\u062a\u0631\u06cc\u0646 \u0627\u0646\u062a\u062e\u0627\u0628 \u062f\u0631 \u0646\u0638\u0631 \u06af\u0631\u0641\u062a\u0647 \u0645\u06cc\u200c\u0634\u0648\u062f\u061b \u0628\u0633\u062a\u0647 \u0628\u0647 \u0627\u06cc\u0646\u06a9\u0647 \u0628\u06cc\u0645\u0627\u0631 \u062a\u0648\u0627\u0646\u0627\u06cc\u06cc \u062a\u062d\u0645\u0644 <b>\u0634\u06cc\u0645\u06cc\u200c\u062f\u0631\u0645\u0627\u0646\u06cc \u0633\u0647\u200c\u06af\u0627\u0646\u0647 (<\/b><b>Triplet chemotherapy<\/b><b>)<\/b> \u0631\u0627 \u062f\u0627\u0634\u062a\u0647 \u0628\u0627\u0634\u062f \u06cc\u0627 \u0646\u0647. (II, B)<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-31f5454 e-con-full e-flex e-con e-child\" data-id=\"31f5454\" data-element_type=\"container\">\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bc4a8f1 e-flex e-con-boxed e-con e-parent\" data-id=\"bc4a8f1\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-04ec5d7 e-con-full e-flex e-con e-child\" data-id=\"04ec5d7\" data-element_type=\"container\">\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1edc154 e-con-full e-flex e-con e-child\" data-id=\"1edc154\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b412115 elementor-widget elementor-widget-text-editor\" data-id=\"b412115\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul><li style=\"text-align: right;\">\u0628\u06cc\u0645\u0627\u0631\u0627\u0646\u06cc \u06a9\u0647 \u0628\u0647 \u0634\u06cc\u0645\u06cc\u200c\u062f\u0631\u0645\u0627\u0646\u06cc \u062e\u0637 \u0627\u0648\u0644 \u067e\u0627\u0633\u062e \u0646\u0645\u06cc\u200c\u062f\u0647\u0646\u062f\u060c \u0646\u0628\u0627\u06cc\u062f \u0627\u0632 <b>\u062c\u0631\u0627\u062d\u06cc \u0628\u0631\u062f\u0627\u0634\u062a<\/b><b> (Resection)<\/b> \u06cc\u0627 <b>\u0627\u0628\u0644\u06cc\u0634\u0646 \u0645\u062a\u0627\u0633\u062a\u0627\u0632\u0647\u0627<\/b> \u0645\u062d\u0631\u0648\u0645 \u0634\u0648\u0646\u062f\u060c \u0686\u0631\u0627\u06a9\u0647 \u062f\u0631 \u0635\u0648\u0631\u062a \u0627\u0646\u062c\u0627\u0645 \u0628\u0631\u062f\u0627\u0634\u062a \u067e\u0633 \u0627\u0632 \u062f\u0631\u0645\u0627\u0646 \u062e\u0637 \u062f\u0648\u0645 \u0646\u06cc\u0632 \u0645\u06cc\u200c\u062a\u0648\u0627\u0646 \u0628\u0647 \u0646\u062a\u0627\u06cc\u062c \u0645\u0637\u0644\u0648\u0628 \u0631\u0633\u06cc\u062f. \u062f\u0631 \u0627\u06cc\u0646 \u0628\u06cc\u0645\u0627\u0631\u0627\u0646\u060c <b>\u0634\u06cc\u0645\u06cc\u200c\u062f\u0631\u0645\u0627\u0646\u06cc \u062f\u0627\u062e\u0644\u200c\u0639\u0631\u0648\u0642\u06cc<\/b><b> (Intra-arterial chemotherapy)<\/b> \u0645\u06cc\u200c\u062a\u0648\u0627\u0646\u062f \u06cc\u06a9 \u06af\u0632\u06cc\u0646\u0647 \u0628\u0627\u0634\u062f\u061b \u0646\u0647 \u062a\u0646\u0647\u0627 \u0628\u0631\u0627\u06cc \u0628\u0627\u0632\u06af\u0631\u062f\u0627\u0646\u062f\u0646 \u067e\u0627\u0633\u062e \u0628\u0647 \u062f\u0631\u0645\u0627\u0646\u060c \u0628\u0644\u06a9\u0647 \u0628\u0631\u0627\u06cc \u0627\u0645\u06a9\u0627\u0646 \u0628\u0631\u062f\u0627\u0634\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u0632\u0647\u0627\u06cc \u06a9\u0628\u062f\u06cc. \u3010III, C\u3011<\/li><li style=\"text-align: right;\">\u062f\u0631 \u0635\u0648\u0631\u062a \u0648\u062c\u0648\u062f <b>\u0641\u0642\u0637 \u0645\u062a\u0627\u0633\u062a\u0627\u0632 \u0635\u0641\u0627\u0642\u06cc<\/b><b> (Peritoneal metastasis)<\/b>\u060c \u0628\u0627\u06cc\u062f <b>\u062c\u0631\u0627\u062d\u06cc \u0633\u06cc\u062a\u0648\u0631\u06cc\u062f\u0627\u06a9\u062a\u06cc\u0648 \u06a9\u0627\u0645\u0644<\/b><b> (Complete cytoreductive surgery)<\/b> \u0627\u0646\u062c\u0627\u0645 \u0634\u0648\u062f. \u3010II, A\u3011<\/li><li style=\"text-align: right;\">\u0627\u0641\u0632\u0648\u062f\u0646 <b>HIPEC <\/b><b>(<\/b><b>\u0634\u06cc\u0645\u06cc\u200c\u062f\u0631\u0645\u0627\u0646\u06cc \u0647\u0627\u06cc\u067e\u0631\u062a\u0631\u0645\u06cc\u06a9 \u062f\u0627\u062e\u0644 \u0635\u0641\u0627\u0642\u06cc<\/b><b>)<\/b> \u0645\u06cc\u200c\u062a\u0648\u0627\u0646\u062f \u0628\u0647\u200c\u0639\u0646\u0648\u0627\u0646 \u06cc\u06a9 \u0631\u0648\u0634 \u062a\u062c\u0631\u0628\u06cc \u062f\u0631 \u0646\u0638\u0631 \u06af\u0631\u0641\u062a\u0647 \u0634\u0648\u062f\u060c \u0627\u0645\u0627 \u0647\u0646\u0648\u0632 \u0646\u06cc\u0627\u0632\u0645\u0646\u062f \u0627\u062b\u0628\u0627\u062a \u062f\u0631 \u06a9\u0627\u0631\u0622\u0632\u0645\u0627\u06cc\u06cc\u200c\u0647\u0627\u06cc \u0628\u0627\u0644\u06cc\u0646\u06cc \u0627\u0633\u062a. \u0628\u0646\u0627\u0628\u0631\u0627\u06cc\u0646 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0627\u0632 \u0622\u0646 \u062f\u0631 \u062e\u0627\u0631\u062c \u0627\u0632 \u0627\u06cc\u0646 \u0634\u0631\u0627\u06cc\u0637 \u062a\u0648\u0635\u06cc\u0647 \u0646\u0645\u06cc\u200c\u0634\u0648\u062f. \u3010II, D\u3011<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c7340ad e-con-full e-flex e-con e-child\" data-id=\"c7340ad\" data-element_type=\"container\">\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>\u062f\u0631\u0645\u0627\u0646 \u062f\u0631 \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u0628\u0627 \u0645\u062a\u0627\u0633\u062a\u0627\u0632 \u0642\u0627\u0628\u0644 \u0628\u0631\u062f\u0627\u0634\u062a \u062f\u0631 \u0628\u06cc\u0645\u0627\u0631\u0627\u0646\u06cc \u06a9\u0647 \u0645\u062a\u0627\u0633\u062a\u0627\u0632 \u0642\u0627\u0628\u0644 \u0628\u0631\u062f\u0627\u0634\u062a \u062f\u0627\u0631\u0646\u062f \u0648 \u0645\u0639\u06cc\u0627\u0631\u0647\u0627\u06cc \u067e\u06cc\u0634\u200c\u0622\u06af\u0647\u06cc \u0645\u0637\u0644\u0648\u0628 \u0647\u0645\u0631\u0627\u0647 \u0628\u0627 \u0627\u0645\u06a9\u0627\u0646 \u062c\u0631\u0627\u062d\u06cc \u0645\u0646\u0627\u0633\u0628 \u0648\u062c\u0648\u062f \u062f\u0627\u0631\u062f\u060c \u0645\u0645\u06a9\u0646 \u0627\u0633\u062a \u0646\u06cc\u0627\u0632 \u0628\u0647 \u062f\u0631\u0645\u0627\u0646 \u0633\u06cc\u0633\u062a\u0645\u06cc\u06a9 \u067e\u0631\u06cc\u200c\u0627\u067e\u0631\u0627\u062a\u06cc\u0648 (Perioperative systemic therapy) \u0646\u0628\u0627\u0634\u062f. (III, B) \u062f\u0631 \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u0628\u0627 \u0645\u062a\u0627\u0633\u062a\u0627\u0632 \u0642\u0627\u0628\u0644 \u0628\u0631\u062f\u0627\u0634\u062a\u060c \u062f\u0631 \u0634\u0631\u0627\u06cc\u0637\u06cc \u06a9\u0647 \u0648\u0636\u0639\u06cc\u062a \u067e\u06cc\u0634\u200c\u0622\u06af\u0647\u06cc \u0646\u0627\u0645\u0634\u062e\u0635 \u0627\u0633\u062a\u060c \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0627\u0632 \u0634\u06cc\u0645\u06cc\u200c\u062f\u0631\u0645\u0627\u0646\u06cc \u0645\u0628\u062a\u0646\u06cc [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-4386","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/gimed.ir\/Colorectal-cancer\/wp-json\/wp\/v2\/posts\/4386","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gimed.ir\/Colorectal-cancer\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/gimed.ir\/Colorectal-cancer\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/gimed.ir\/Colorectal-cancer\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gimed.ir\/Colorectal-cancer\/wp-json\/wp\/v2\/comments?post=4386"}],"version-history":[{"count":4,"href":"https:\/\/gimed.ir\/Colorectal-cancer\/wp-json\/wp\/v2\/posts\/4386\/revisions"}],"predecessor-version":[{"id":4397,"href":"https:\/\/gimed.ir\/Colorectal-cancer\/wp-json\/wp\/v2\/posts\/4386\/revisions\/4397"}],"wp:attachment":[{"href":"https:\/\/gimed.ir\/Colorectal-cancer\/wp-json\/wp\/v2\/media?parent=4386"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gimed.ir\/Colorectal-cancer\/wp-json\/wp\/v2\/categories?post=4386"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gimed.ir\/Colorectal-cancer\/wp-json\/wp\/v2\/tags?post=4386"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}