Metastatic Colorectal Cancer to the Peritoneum: Current Treatment Options

被引:52
作者
Vassos, Nikolaos [1 ]
Piso, Pompiliu [2 ]
机构
[1] Friedrich Alexander Univ Erlangen Nuremberg, Univ Hosp Erlangen, Dept Surg, Krankenhausstr 12, D-91054 Erlangen, Germany
[2] Barmherzige Bruder Krankenhaus Regensburg, Dept Surg, Regensburg, Germany
关键词
Colorectal cancer; Peritoneal metastases; Carcinomatosis; Cytoreductive surgery; HIPEC; HYPERTHERMIC INTRAPERITONEAL CHEMOTHERAPY; DISEASE SEVERITY SCORE; COMPLETE CYTOREDUCTIVE SURGERY; SYNCHRONOUS LIVER METASTASES; SYSTEMATIC 2ND-LOOK SURGERY; AEROSOL CHEMOTHERAPY; HIGH-RISK; SURFACE MALIGNANCIES; COLON-CANCER; AMERICAN SOCIETY;
D O I
10.1007/s11864-018-0563-8
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Opinion statementPeritoneal metastases (PM) are common in advanced-stage colorectal cancer (CRC) patients representing the second most common metastatic site of CRC. In the past, this clinical situation was treated with palliative intent. The introduction of new chemotherapeutic and targeted biologic agents has improved the prognosis of patients with metastatic colorectal cancer. However, the inclusion of treatment options such as cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) as inherent components of a multidisciplinary treatment was evolving for the management of these patients. Notably, the surgical approach of CRS/HIPEC has been effective offering a prolonged survival with curative intent in patients with colorectal PM. This article reviews and highlights the recent evidence of CRS and HIPEC as well as current research going on in this form of locoregional treatment in the setting of peritoneal metastases of colorectal cancer.
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页数:18
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