Combination of surgery and chemotherapy and the role of targeted agents in the treatment of patients with colorectal liver metastases: recommendations from an expert panel

Felice Giuliante, Carmelo Pozzo, B. Nordlinger, E. Van Cutsem, T. Gruenberger, B. Glimelius, G. Poston, P. Rougie, A. Sobrero, M. Ychou

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

292 Citazioni (Scopus)

Abstract

The past 5 years have seen the clear recognition that the administration of chemotherapy to patients with initially unresectable colorectal liver metastases can increase the number of patients who can undergo potentially curative secondary liver resection. Coupled with this, recent data have emerged that show that perioperative chemotherapy confers a disease-free survival advantage over surgery alone in colorectal cancer (CRC) patients with initially resectable liver disease. The purpose of this paper is to build on the existing knowledge and review the issues surrounding the use of chemotherapy +/- targeted agents combined with surgery in the treatment of CRC patients with liver metastases, with a view to providing clinical recommendations. An international panel of 21 experts in colorectal oncology comprising liver surgeons and medical oncologists reviewed the available evidence. In a major change to clinical practice, the panel's recommendation was that the majority of patients with CRC liver metastases should be treated up front with chemotherapy, irrespective of the initial resectability status of their metastases.
Lingua originaleEnglish
pagine (da-a)985-992
Numero di pagine8
RivistaAnnals of Oncology
Volume20
DOI
Stato di pubblicazionePubblicato - 2009

Keywords

  • Chemotherapy
  • Colorectal metastases
  • Combination therapy
  • Expert panel
  • Liver metastases
  • Liver resection
  • Targeted agents

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