colorectal Cancer 

Colorectal liver metastases- multidisciplinary approach


 Surgical resection is the only treatment that offers a chance of cure and long-term survival, with 5- and 10-year survival rates at around 40% and 25% respectively

A personalized treatment approach – taking tumour biology, disease staging and patient condition into consideration – is the key to improving outcomes.



options -

-The primary cancer and the hepatic metastasis can be removed simultaneously or in a two-step approach; 


PATIENT AND TUMOUR EVALUATION

-Evaluation of future liver remnant (before major hepatectomy).


PATIENT SELECTION AND PROGNOSTIC PREDICTION

NEOADJUVANT TREATMENT-

Controversy 2: Role of neoadjuvant therapy in clearly R0 resectable CRLM

the European Society for Medical Oncology (ESMO) guidelines-

Chemotherapy-associated liver injury (CALI)-

Disappearing LM: