Amersi Farin, Stamos Michael J, Ko Clifford Y
Department of Surgery, David Geffen-UCLA School of Medicine, 10833 Le Conte Avenue, 72-215 CHS, Los Angeles, CA 90095, USA.
Surg Oncol Clin N Am. 2004 Jul;13(3):467-77. doi: 10.1016/j.soc.2004.03.002.
Most patients with stage IV colorectal cancer have a poor prognosis,but numerous palliative modalities are available today. When a cure is no longer possible, treatment is directed toward providing symptomatic relief. The data leave little doubt that surgical resection may provide good palliation. Although resection has been the mainstay of palliative care, an individualized multidisciplinary approach, which may involve both surgical and nonsurgical modalities, is probably the best current option.
大多数IV期结直肠癌患者预后较差,但如今有多种姑息治疗方法可供选择。当无法治愈时,治疗旨在缓解症状。数据表明手术切除可能会带来良好的姑息效果,这一点几乎毋庸置疑。虽然切除一直是姑息治疗的主要手段,但个体化的多学科方法可能是目前最佳选择,这种方法可能同时涉及手术和非手术方式。