For patients with your stage of metastatic colorectal cancer, ablative local therapy (ALT) is commonly used to treat all known tumor sites. ALT may be performed by surgery, radiation therapy, heat with microwave ablation, or other methods. This study will use radiation therapy and potentially surgery and/or heat. The use of ALT in addition to your usual treatment could shrink your cancer and prevent it from returning. Although it is common to use ALT, at this time, it is not scientifically proven that the addition of ALT is beneficial for your stage of cancer. The purpose of this study is to determine if adding ALT to the usual approach of systemic therapy for treatment of your metastatic colorectal cancer can lengthen your survival.
We are doing this study because we want to find out if this approach is better or worse than the usual approach for your metastatic colorectal cancer. The usual approach is defined as care most people get for metastatic colorectal cancer.