转移性结直肠癌。治疗策略的演变:外科医生的观点

V. Aliev, Z. Mamedli, Y. Barsukov, Z. Dudaev, P. A. Tikhonov, D. V. Podluzhnyy, S. G. Gaydarov
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引用次数: 0

摘要

本文探讨了结直肠癌同步转移性疾病治疗方案的发展,手术入路在不同阶段联合治疗中的作用,包括“肝脏优先”策略。分析结直肠癌伴肝远处转移患者围手术期及新辅助多化疗的前景、原发肿瘤及肝转移患者采用放疗的可能性、放疗的风险与获益及现有临床研究资料。
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Metastatic colorectal cancer. Evolution of treatment strategies: surgeons’ point of view
This article explores evolution of treatment options in colorectal cancer with synchronous metastatic disease, role of surgical approach on different stages of combined‑modality therapy, including “liver first” strategy. Prospects of perioperative and neoadjuvant polychemotherapy in patients with colorectal cancer with synchronous distant metastases to liver, data on possibility of using radiation therapy in treatment of primary tumor and liver metastases, as well as risks and benefits of this approach and available clinical research data are analyzed.
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