Patients diagnosed with cancer of the colon or pre-malignant polyps that can not be removed by colonoscopy are referred to the Surgical Oncology Clinic for initial evaluation and treatment planning. Cross sectional imaging is then performed (CT scan or PET scan). In the absence of metastatic disease, surgery is performed followed by adjuvant chemotherapy when required. Patients with liver or lung metastasis are discussed in a multidisciplinary conference in order to select the best treatment option.
 
Patients with peritoneal dissemination are considered for cytoredcution + HIPEC.