Evidence-based medical oncology and interventional radiology paradigms for liver-dominant colorectal cancer metastases.

Abstract:

:Colorectal cancer metastasizes predictably, with liver predominance in most cases. Because liver involvement has been shown to be a major determinant of survival in this population, liver-directed therapies are increasingly considered even in cases where there is (limited) extrahepatic disease. Unfortunately, these patients carry a known risk of recurrence in the liver regardless of initial therapy choice. Therefore, there is a demand for minimally invasive, non-surgical, personalized cancer treatments to preserve quality of life in the induction, consolidation, and maintenance phases of cancer therapy. This report aims to review evidence-based conceptual, pharmacological, and technological paradigm shifts in parenteral and percutaneous treatment strategies as well as forthcoming evidence regarding next-generation systemic, locoregional, and local treatment approaches for this patient population.

journal_name

World J Gastroenterol

authors

Sag AA,Selcukbiricik F,Mandel NM

doi

10.3748/wjg.v22.i11.3127

subject

Has Abstract

pub_date

2016-03-21 00:00:00

pages

3127-49

issue

11

eissn

1007-9327

issn

2219-2840

journal_volume

22

pub_type

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