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I BRAZILIAN CONSENSUS ON MULTIMODAL TREATMENT OF COLORECTAL LIVER METASTASES. MODULE 2: APPROACH TO RESECTABLE METASTASES

BACKGROUND: Liver metastases of colorectal cancer are frequent and potentially fatal event in the evolution of patients. AIM: In the second module of this consensus, management of resectable liver metastases was discussed. METHOD: Concept of synchronous and metachronous metastases was determined, an...

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Detalles Bibliográficos
Autores principales: RIBEIRO, Héber Salvador de Castro, TORRES, Orlando Jorge Martins, MARQUES, Márcio Carmona, HERMAN, Paulo, KALIL, Antonio Nocchi, FERNANDES, Eduardo de Souza Martins, de OLIVEIRA, Fábio Ferreira, CASTRO, Leonaldson dos Santos, HANRIOT, Rodrigo, OLIVEIRA, Suilane Coelho Ribeiro, BOFF, Marcio Fernando, da COSTA, Wilson Luiz, GIL, Roberto de Almeida, PFIFFER, Tulio Eduardo Flesch, MAKDISSI, Fabio Ferrari, ROCHA, Manoel de Souza, do AMARAL, Paulo Cezar Galvão, COSTA, Leonardo Atem Gonçalves de Araújo, ALOIA, Tomas A., D'ALBUQUERQUE, Luiz Augusto Carneiro, COIMBRA, Felipe José Fernandez
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Colégio Brasileiro de Cirurgia Digestiva 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4851142/
https://www.ncbi.nlm.nih.gov/pubmed/27120731
http://dx.doi.org/10.1590/0102-6720201600010003
Descripción
Sumario:BACKGROUND: Liver metastases of colorectal cancer are frequent and potentially fatal event in the evolution of patients. AIM: In the second module of this consensus, management of resectable liver metastases was discussed. METHOD: Concept of synchronous and metachronous metastases was determined, and both scenarius were discussed separately according its prognostic and therapeutic peculiarities. RESULTS: Special attention was given to the missing metastases due to systemic preoperative treatment response, with emphasis in strategies to avoid its reccurrence and how to manage disappeared lesions. CONCLUSION: Were presented validated ressectional strategies, to be taken into account in clinical practice.