Department of Surgery, Johns Hopkins Hospital, Baltimore, Maryland.
Cancer. 2014 Oct 15;120(20):3111-21. doi: 10.1002/cncr.28743. Epub 2014 Jun 26.
The number of hepatectomies performed for metastatic cancer has dramatically increased over the past 2 decades. Hepatectomy for stage IV colorectal cancer is now considered the standard of care for resectable patients with isolated hepatic disease and acceptable performance status. However, the indications for resection of noncolorectal origin liver metastases are not as clearly defined. This review focuses on emerging data for the resection of noncolorectal metastatic disease to the liver, with a focus on indications for surgical resection. Specifically, we review the current data on the surgical management of nonneuroendocrine and neuroendocrine tumors metastatic to the liver.
在过去的 20 年中，为转移性癌症进行的肝切除术数量显著增加。对于可切除的孤立性肝疾病和可接受的一般状况的 IV 期结直肠癌患者，肝切除术现在被认为是标准的治疗方法。然而，非结直肠癌肝转移灶切除的适应证并不明确。这篇综述重点介绍了非结直肠癌肝转移灶切除的新数据，重点关注手术切除的适应证。具体来说，我们回顾了目前关于非神经内分泌和神经内分泌肿瘤肝转移的手术治疗数据。
