Publications by authors named "Evangelia Chrysou"
Colonic diverticular disease is a common condition, affecting 50% of the population aged above 80. In contrast, rectal diverticular disease is a rare condition with very few cases reported, while symptomatic rectal diverticular disease is even rarer. We present a case of a symptomatic large rectal diverticulum presenting with a retrorectal abscess.
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- There is a gap in following international guidelines for managing metastatic colorectal cancer (CRC) in Greece and Cyprus, prompting the need for a new consensus on treatment strategies.
- An executive team from the Hellenic Society of Medical Oncology collaborated with international experts using the Delphi methodology to develop and vote on 109 statements regarding CRC management.
- The final consensus highlights the importance of a centralized approach, multidisciplinary care, adherence to guidelines, patient personalization, and that R0 resection is key for better oncological outcomes.
In rectal cancer management, accurate staging by magnetic resonance imaging, neo-adjuvant treatment with the use of radiotherapy, and total mesorectal excision have resulted in remarkable improvement in the oncological outcomes. However, there is substantial discrepancy in the therapeutic approach and failure to adhere to international guidelines among different Greek-Cypriot hospitals. The present guidelines aim to aid the multidisciplinary management of rectal cancer, considering both the local special characteristics of our healthcare system and the international relevant agreements (ESMO, EURECCA).
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- There is significant variation in colon cancer outcomes across European countries, particularly in Greece and Cyprus, largely due to differing management strategies and guideline adherence.
- A consensus for multidisciplinary colon cancer management was created based on European guidelines, involving extensive discussions and a structured Delphi voting process among international experts.
- Ultimately, the consensus included 60 statements on colon cancer management, achieving over 80% agreement, highlighting the need for centralized care, multidisciplinary teamwork, and strict adherence to established guidelines.
Colorectal cancer remains a major cause of cancer mortality in the Western world both in men and women. In this manuscript a concise overview and recommendations on adjuvant chemotherapy in colon cancer are presented. An executive team from the Hellenic Society of Medical Oncology was assigned to develop a consensus statement and guidelines on the adjuvant treatment of colon cancer.
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