کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2121477 1547077 2016 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Management of liver metastases in colorectal cancer patients: A retrospective case-control study of systemic therapy versus liver resection
ترجمه فارسی عنوان
مدیریت متاستازهای کبدی در بیماران مبتلا به سرطان کولورکتال: یک مطالعه پیشگیرانه در مورد کنترل سیستمیک در برابر برداشتن کبد
کلمات کلیدی
موضوعات مرتبط
علوم زیستی و بیوفناوری بیوشیمی، ژنتیک و زیست شناسی مولکولی تحقیقات سرطان
چکیده انگلیسی


• Surgery in patients with colorectal liver metastases provides superior survival.
• Defining resectability of liver metastases remains a challenge.
• Multidisciplinary tumour boards are extremely important in selecting the patients.

ObjectiveTo evaluate and compare the overall survival (OS) in case-matched patient groups treated either with systemic therapy or surgery for colorectal liver metastases (CRLM).MethodsPatients with CRLM, without extra-hepatic disease, treated with chemotherapy with or without targeted therapy in two phase III studies (n = 480) were selected and case-matched to patients who underwent liver resection (n = 632). Matching criteria were sex, age, established prognostic factors for survival (clinical risk score). Available computed tomography (CT)-scans of patients treated with systemic therapies were reviewed by three independent liver surgeons for resectability. Survival was compared between patients with resectable CRLM (based on CT-scan review) who were treated with systemic therapy versus patients who underwent liver resection.ResultsA total of 96 patients treated with systemic therapy were included. Pre-treatment CT-scans of the liver were available for review in 56 of the systemically treated patients, and metastases were unanimously considered resectable in 36 patients (64.3%) (complex resectable: n = 25; 69%). These 36 patients were case-matched with 36 patients who underwent liver resection (wedge resection or segmentectomy: n = 26; 72%). Median OS in the patient group treated with systemic therapy was 26.5 months (range 0–81 months), which was significantly lower than that in case-matched patients who underwent liver resection (median OS 56 months; range 6–116) (p = 0.027).ConclusionsIn this case-matched control study, surgery provided superior OS rates compared to systemic therapy for CRLM. Resection of CRLM should always be considered, preferably in a dedicated liver centre, since not all patients that qualify for resection are identified as such.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Cancer - Volume 59, May 2016, Pages 13–21
نویسندگان
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