The choice of treatment is based upon a number of factors including number, size, location, and pathology of the metastatic tumors, the location, pathology, systemic spread, and treatment of the primary tumor, and the patient's age and general physical condition.
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Data support the recommendation that African Americans should begin screening at a younger age because of the higher incidence of colorectal cancer and a greater prevalence of proximal or right-sided polyps and cancer in this population.