医学
转移
结直肠癌
普通外科
肿瘤科
远处转移
内科学
癌症
作者
Zeyun Zhao,Xiaoyu Tan,R Liu
出处
期刊:PubMed
日期:2020-06-25
卷期号:23 (6): 619-622
被引量:2
标识
DOI:10.3760/cma.j.cn.441530-20200331-00176
摘要
Liver metastasis is one of the main causes of death in patients with colorectal cancer. About 15%-25% of patients with colorectal cancer have synchronous liver metastasis at the initial diagnosis. With the development of new evidence and concept of surgery, there is a improvement in the understanding of the surgical treatment, transformation treatment, criteria of surgical resectability and prognosis of patients with colorectal liver metastasis (CRLM). Based on latest progress, specialized multi-disciplinary team decides the best individualized treatment strategy. This paper reviews the current situation and progress of CRLM.肝脏转移是结直肠癌患者最主要的致死性原因之一,15%~25%的结直肠癌患者初诊时已发生同步肝转移。随着外科新证据、新理念的发展,对结直肠癌肝转移(CRLM)患者手术治疗、转化治疗以及手术可切除性和预后的判断标准等也有了新的认识。完善的多学科诊疗团队依据新证据,综合考虑多方面因素,制定适合患者的个性化治疗方案,避免不必要的手术并发症,改善患者生活质量,延长患者生存时间,这是CRLM的治疗目的。本文针对目前CRLM的的现状及研究进展进行了综述。.
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