Colorectal cancer with potentially resectable hepatic metastases: optimizing treatment.

Published

Journal Article (Review)

Colorectal cancer is a common malignancy and often presents with synchronous or metachronous distant spread. For patients with hepatic metastases, resection is the principal curative option. Liberalization of the indications for hepatic resection has introduced a number of challenges related to the size, distribution, and number of metastases as well as the condition of the future liver remnant. Advances in systemic therapy have solidified its role as both an important adjunct to surgery and also for many patients as a mechanism to facilitate resection. In patients whose disease is marginally resectable as a consequence of the distribution of hepatic lesions that precludes complete resection or out of concern for the future liver remnant, a number of strategies have been advocated, including prehepatectomy systemic therapy, staged surgical approaches, ablative technologies, and preoperative portal vein embolization. It is the purpose of this review to discuss ways in which to optimize the treatment of patients with potentially resectable disease, specifically those who are judged to have "borderline" resectable situations.

Full Text

Duke Authors

Cited Authors

  • Worni, M; Shah, KN; Clary, BM

Published Date

  • October 2014

Published In

Volume / Issue

  • 16 / 10

Start / End Page

  • 407 -

PubMed ID

  • 25129331

Pubmed Central ID

  • 25129331

Electronic International Standard Serial Number (EISSN)

  • 1534-6269

Digital Object Identifier (DOI)

  • 10.1007/s11912-014-0407-z

Language

  • eng

Conference Location

  • United States