Trends in Treatment for Synchronous Colorectal Liver Metastases: Differences in Outcome Before and After 2000

Anne Pool, Zarina Lalmahomed, JHW (Johannes) de Wilt, Lex Eggermont, J.N.M. IJzermans, Kees Verhoef

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12 Citations (Scopus)

Abstract

Background: The traditional treatment for stage IV colorectal cancer has changed from palliative chemotherapy toward an aggressive multimodality approach In the current study outcome in patients who underwent surgery for synchronous colorectal liver metastases (CLM) in a single center was evaluated Methods: From January 1991 to May 2008 all consecutive patients with synchronous CLM who under went curative resection of both primary and metastatic disease were included Date of resection was divided into two groups date of hepatic resection before and after the year 2000 Results: Fifty patients (26%) with synchronous CLM were resected before 2000 and 142 patients (74%) underwent resection alter 2000 The estimated 5-year disease-free survival before and after 2000 was 9% and 27%. respectively (P = 0 379) More patients who underwent resection after 2000 were treated with local therapy or underwent resection for ultra-hepatic recurrence (62% vs 28%. P = 0 033) The estimated 5-year survival before and after 2000 was 26% and 44%. respectively (P = 0 001) Conclusion: Survival rates in patients with synchronous CLM have been increased in the past decade The introduction of new chemotherapeutic drugs and a more aggressive treatment approach in patients with liver recurrence were probably major factors in this progress Surg Oncol 2010.102 413-418 (C) 2010 Wiley-Liss. Inc
Original languageUndefined/Unknown
Pages (from-to)413-418
Number of pages6
JournalJournal of Surgical Oncology
Volume102
Issue number5
DOIs
Publication statusPublished - 2010

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