The multidisciplinary management of oligometastases from colorectal cancer: a narrative review

被引:14
作者
Chandy, Edward T. J. [1 ]
Saxby, Helen J. [2 ]
Pang, Jennifer W. [2 ]
Sharma, Ricky A. [1 ]
机构
[1] UCL, UCL Canc Inst, London, England
[2] Royal Surrey Cty Hosp, Guildford, Surrey, England
关键词
Radiofrequency ablation (RFA); liver resection; stereotactic ablative body radiotherapy (SABR); transarterial chemotherapy (TACE); selective internal radiotherapy (SIRT); STEREOTACTIC BODY RADIOTHERAPY; DRUG-ELUTING BEADS; INTRAOPERATIVE RADIOFREQUENCY ABLATION; POST-EMBOLIZATION SYNDROME; LIVER METASTASES; LUNG METASTASES; HEPATIC RESECTION; HEPATOCELLULAR-CARCINOMA; PHASE-II; TRANSARTERIAL CHEMOEMBOLIZATION;
D O I
10.21037/apm-20-919
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
In the United States of America, almost 150,000 people are estimated to be diagnosed with colorectal cancer in 2020 and up to 35% of those are expected to present with oligometastatic disease. The term 'oligometastasis' was first used in 1995, however surgical literature describing liver resection for colorectal cancer dates back to the 1940s. Five-year survival rates of up to 42% with surgery alone for solitary lesions are reported. Modern trials have demonstrated median overall survival rates of over 80 months for patients with colorectal liver metastases treated with perioperative chemotherapy. Colorectal liver metastases have accordingly been described as 'proof of concept' for the oligometastatic theory.
引用
收藏
页码:5988 / 6001
页数:14
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