Adjuvant chemotherapy for resected colorectal cancer metastases: literature review and meta-analysis

被引:72
作者
Brandi, Giovanni [1 ,2 ]
De Lorenzo, Stefania [1 ]
Nannini, Margherita [1 ]
Curti, Stefania [3 ]
Ottone, Marta [3 ]
Dall'Olio, Filippo Gustavo [1 ]
Barbera, Maria Aurelia [1 ]
Pantaleo, Maria Abbondanza [1 ,2 ]
Biasco, Guido [1 ,2 ]
机构
[1] Univ Bologna, St Orsola Malpighi Hosp, Dept Expt Diagnost & Specialty Med, I-40138 Bologna, Italy
[2] Univ Bologna, G Prodi Interdept Ctr Canc Res, I-40138 Bologna, Italy
[3] Univ Bologna, Dept Med & Surg Sci, I-40138 Bologna, Italy
关键词
Liver metastases; Adjuvant chemotherapy; Metastasectomy; Colorectal cancer; Adjuvant hepatic artery infusion; RANDOMIZED PHASE-III; HEPATIC-ARTERIAL-INFUSION; OXALIPLATIN-BASED CHEMOTHERAPY; CLINICAL-PRACTICE GUIDELINES; LONG-TERM SURVIVAL; LIVER METASTASES; COLON-CANCER; 1ST-LINE TREATMENT; RADIOFREQUENCY ABLATION; SYSTEMIC CHEMOTHERAPY;
D O I
10.3748/wjg.v22.i2.519
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Surgical resection is the only option of cure for patients with metastatic colorectal cancer (CRC). However, the risk of recurrence within 18 mo after metastasectomy is around 75% and the liver is the most frequent site of relapse. The current international guidelines recommend an adjuvant therapy after surgical resection of CRC metastases despite the lower level of evidence (based on the quality of studies in this setting). However, there is still no standard treatment and the effective role of an adjuvant therapy remains controversial. The aim of this review is to report the state-of-art of systemic chemotherapy and regional chemotherapy with hepatic arterial infusion in the management of patients after resection of metastases from CRC, with a literature review and meta-analysis of the relevant randomized controlled trials.
引用
收藏
页码:519 / 533
页数:15
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