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This chemotherapy regimen is a specific treatment protocol evaluated in a Phase II clinical trial (NCT01810718) by the Korea Cancer Center Hospital for patients with rectal cancer and synchronous liver or lung metastases. The regimen consists of a chemotherapy backbone—either FOLFOX (oxaliplatin, leucovorin, and 5-fluorouracil) or FOLFIRI (irinotecan, leucovorin, and 5-fluorouracil)—which may be combined with the VEGF inhibitor bevacizumab or the EGFR inhibitor cetuximab (specifically for patients with KRAS wild-type tumors). This intensive systemic therapy is administered following short-course radiotherapy (SCRT) and prior to delayed surgery, designed to control metastatic spread and downstage the primary tumor.
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