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Liver, lung and peritoneal metastases in colorectal cancers: is the patient still curable? What should the radiologist know
Diagn Interv Imaging
2211-5684 (Electronic)2211-5684 (Linking)
Dromain, CCaramella, CDartigues, PGoere, DDucreux, MDeschamps, FengResearch Support, Non-U.S. Gov'tFrance2014/05/06 06:00Diagn Interv Imaging. 2014 May;95(5):513-23. doi: 10.1016/j.diii.2014.03.011. Epub 2014 May 1.
Regardless of the advances in chemotherapy, the only curative treatment for colorectal metastases is surgery, which must be complete and excise all of the metastatic sites of disease. Thanks to advances in neoadjuvant chemotherapy and also to alternative techniques, such as radiofrequency ablation, however, surgical treatments have become available to a larger number of patients and have improved patient survival. The aim of this article is to describe the different treatment strategies for colorectal metastases and to examine the role of imaging in defining the resect ability of these metastases. The key factors in the radiological report in the initial and post-chemotherapy assessments are described.
Chemotherapy, Adjuvant, Colectomy/methods, Colorectal Neoplasms/mortality/pathology/*therapy, Combined Modality Therapy, Cooperative Behavior, Electrocoagulation, Hepatectomy/methods, Humans, Interdisciplinary Communication, Liver Neoplasms/mortality/pathology/*secondary/*therapy, Lung Neoplasms/mortality/pathology/*secondary/*therapy, Lymphatic Metastasis, Neoadjuvant Therapy, Neoplasm Staging, Peritoneal Neoplasms/mortality/pathology/*secondary/*therapy, Pneumonectomy/methods, Prognosis, Reoperation, Survival Analysis, Tertiary Care Centers
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