학술논문

Cure in metastatic disease: how to manage and who is the right patient in colorectal cancer?
Document Type
Review Paper
Source
memo - Magazine of European Medical Oncology: An International Journal for Oncology and Haematology Professionals. 11(4):317-321
Subject
Liver metastases
Colorectal cancer
Chemotherapy
Liver resection
Multidisciplinarity
Language
English
ISSN
1865-5041
1865-5076
Abstract
Summary: Metastatic colorectal cancer was long considered for palliative therapy, until significant improvement in surgical techniques and more effective chemotherapeutic regimens changed the way metastatic colon cancer patients are being treated today. Prospective trials were designed to answer the question which patient with metastatic disease could potentially be cured by a multidisciplinary approach with medical oncologists, surgeons and radiation oncology using an induction chemotherapy in combination with a targeted agent and being monitored for resectability in multidisciplinary tumor boards. Patients with oligometastatic disease should be treated with the goal of curative resection. This review will highlight studies conducted over the past 15 years addressing this issue. An algorithm is proposed illustrating how every newly diagnosed mCRC (metastatic colorectal cancer) patient could be discussed in the tumor board to decide the best treatment sequence with the best chance of cure.