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Expert: Ramon Andrade Bezerra de Mello, Sao Paulo, Brazil

Questions:

1-Stage 3 colon cancer did operation and competed adj chemo (capeox) . after 1 year developed single lung lesion, resection done but the margin was positive!, radiotherapy could not  be given due  to unmarking of resection site, we gave her same adj chemo, after 4 month from completion if chemo developed wide spread dz in lung an live!

2-Stage 3 colon cancer, emergency operating done due to obstruction , resection margin positive! re operation could not be done because she developed lots of post op complications ( leak), we gave her adj chemo!

3-In positive resection margins, should we manage as stage 4?

4-Stage 3 gastric cancer, received 4 cycle per op FLOT, during operation small single live lesion was detected, which was resected too, negative margin, and pathologically proved to be met, shall we manage as stage 4 or complete the 4 FLOT?