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将全身治疗纳入可切除结直肠癌肝转移的多模式治疗中。

Integrating Systemic Therapies into the Multimodality Treatment of Resectable Colorectal Liver Metastases.

作者信息

Abdel-Rahman Omar, Cheung Winson Y

机构信息

Clinical Oncology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Department of Oncology, University of Calgary, Tom Baker Cancer Centre, Calgary, AB, Canada.

出版信息

Gastroenterol Res Pract. 2018 Jun 21;2018:4326082. doi: 10.1155/2018/4326082. eCollection 2018.

Abstract

Colorectal carcinoma (CRC) is one of the most common cancers worldwide. A considerable proportion of CRC patients may present with metastatic disease either at upfront presentation (synchronous with the primary) or following diagnosis and treatment of the primary tumor (metachronous). Management of CRC liver metastases is a challenging endeavor which frequently necessitates proper assessment of patient- and disease-related factors. There is an opportunity within the management of CRC liver metastases to incorporate multiple treatment modalities (including surgery, other locoregional treatments, and systemic therapy). The current review aims to provide an updated overview on the optimal management strategy for CRC patients with liver metastases with a specific focus on the integration of systemic and/or locoregional treatments among patients with resectable or potentially resectable disease.

摘要

结直肠癌(CRC)是全球最常见的癌症之一。相当一部分CRC患者可能在初次就诊时(与原发肿瘤同时)或在原发性肿瘤诊断和治疗后(异时性)出现转移性疾病。CRC肝转移的管理是一项具有挑战性的工作,通常需要对患者和疾病相关因素进行适当评估。在CRC肝转移的管理中,有机会采用多种治疗方式(包括手术、其他局部区域治疗和全身治疗)。本综述旨在提供关于CRC肝转移患者最佳管理策略的最新概述,特别关注可切除或潜在可切除疾病患者中全身和/或局部区域治疗的整合。

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