Mcrc patient aged 65. drs not willing to give any 5-fu drugs due to chest tightness . tried xeloda (capecitabine) n irinotecan . what can we do now ?

Define met site.: Regardless of site and extent of mets, primary resection essential. This eliminates any other site of spread. PET/CT will determine met areas after primary removed. If as is usual, mets are to liver, microwave ablation, or chemo embolization or radioactive microspheres given to liver to control disease. Any pulmonary nodes removed thru thorascope. Most protocols contain 5FU (fluorouracil).