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Updated: May 28, 2026

08:54
Treatment of Liver Metastases Using an Internal Target Volume Method for Stereotactic Body Radiotherapy
Published on: May 8, 2018
[Neoadjuvant therapy concepts for liver metastases].
1Universitätskrebszentrum/Medizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus, Fetscherstr. 74, 01307, Dresden, Deutschland. Gunnar.Folprecht@uniklinikum-dresden.de
Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|October 29, 2011
Summary
Resecting liver metastases can lead to long-term survival for colorectal cancer patients. Combining surgery with chemotherapy, particularly FOLFOX, improves disease-free survival and response rates.
Area of Science:
- Oncology
- Surgical Oncology
- Gastrointestinal Oncology
Context:
- Colorectal carcinoma frequently metastasizes to the liver, impacting patient prognosis.
- Surgical resection of liver metastases offers a potential for long-term survival.
- Three clinical scenarios exist: resectable, potentially resectable, and disseminated liver metastases.
Purpose:
- To review treatment strategies for liver metastases in colorectal cancer based on resectability.
- To highlight the role of chemotherapy in conjunction with surgical resection.
- To discuss evidence-based neoadjuvant chemotherapy regimens.
Summary:
- Resectable liver metastases benefit from combined surgery and chemotherapy, with FOLFOX as a high-evidence neoadjuvant option.
- Potentially resectable metastases warrant regimens like FOLFIRI/cetuximab or FOLFOXIRI for improved response and resection rates.
- Regular reevaluation of resectability during neoadjuvant therapy is crucial for timely surgical planning.
Impact:
- Optimizing treatment strategies can improve survival outcomes for colorectal cancer patients with liver metastases.
- Evidence-based chemotherapy regimens enhance surgical success rates.
- Timely surgical intervention post-neoadjuvant therapy minimizes morbidity and addresses complete remission uncertainties.
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