Metastatic bowel cancer
Metastatic bowel cancer is cancer that started in either the back passage (rectum) or large bowel (colon) and has spread to another part of the body.
Deciding about treatment can be difficult when you have bowel cancer that has spread. The aim of treatment is usually to help reduce symptoms, make you feel better and sometimes can help you to live longer.
This section is about treatment for bowel cancer that has spread to another part of the body. We have separate information about treatment for cancer that hasn't spread to another part of the body.
Go to our information about treatment for bowel cancer that hasn't spread to other parts of the body
Deciding about treatment can be difficult when you have cancer that has spread. Treatments such as chemotherapy, targeted and immunotherapy drugs and radiotherapy can help to reduce symptoms.
Symptoms of metastatic bowel cancer can include sickness, pain, loss of appetite and bowel problems. There are treatments that can help.
You might have surgery if your bowel cancer blocks your bowel and causes symptoms of bowel obstruction. Sometimes you can have surgery to remove cancer that has spread to your liver or lungs.
Chemotherapy uses anti cancer (cytotoxic) drugs to destroy cancer cells. You might have chemotherapy for bowel cancer that has spread.
Radiotherapy uses high energy rays similar to x-rays to kill cancer cells. It can shrink the cancer, relieve symptoms and help you feel more comfortable.
You might have targeted or immunotherapy drugs as part of your treatment for bowel cancer that has spread.
Last reviewed: 16 Apr 2025
Next review due: 16 Apr 2028

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