Colorectal Cancer

The department of colorectal surgery in Uppsala has a long tradition in the research of colorectal cancer. We have been involved in and organized multi-institutional trials in adjuvant treatment in colorectal cancer. Many of those trials have been published in well-known journals and there is still a lot of research ongoing among those patients included in the trials. We are looking for late adverse effects to adjuvant treatment (both radiotherapy and chemotherapy) in patients treated for colorectal cancer. We are also involved in several trials finding out the best way of giving adjuvant treatment in rectal cancer as well as how to combine radiotherapy and chemotherapy in rectal cancer treatment as well as how to use chemotherapy in treatment of patients with colonic cancer. Furthermore we are involved in several trials regarding the palliative care of patients with colorectal cancer.

Another branch in our colorectal cancer research is to find predictive tests and prognostic variables in patients treated for colorectal cancer. We paritcipate in a cooperation with Umeå university, of biobanking tumour tissue and blood from cance patients (U-CAN http://www.u-can.uu.se/?languageId=1). We have a strong link to the human protein research project, (HPR project; http://www.proteinatlas.org/) at Uppsala University and the Science of life labarotorium (http://www.scilifelab.se/) involved in finding good prognostic markers.

In the Uppsala-Örebro health-care region there is a quality control register for colorectal cancer surgery. Based upon these data and also the national quality control register for rectal cancer we have used this registration for several epidemiological studies showing the need of good pathology, good surgery and also good patient care. Also those registers are valuable to evaluate volumes in the treatment of cancer.

Another important topic is screening for colorectal cancer. Although the most evidence based screening tool is fecal occult blood testing, this has not been accepted as standard of care in Sweden. Therefore we are investigating other screening modalities like evaluating examination of DNA or tumor markers in the stools or to implement as a randomized trial exploring screening with colonoscopy.

We have also been involved in several important trials regarding surgical technique in colorectal cancer treatment. This includes a trial of preoperative bowel prep in colorectal cancer, a randomized trial regarding the use of covering stomas in rectal cancer surgery and also the use of different staplers.

A cooperation and research together with clinical pathologists and radiologist are also an integral part of our research.

Dissertations on the subject from our institution: