Resection for Recurrent Colorectal Liver Metastases

  • Konstantine Avradopolous
  • Harold J. Wanebo
  • Sam G. Pappas
Part of the Cancer Treatment and Research book series (CTAR, volume 109)

Abstract

Colorectal cancer is one of the most common gastrointestinal cancers worldwide. It is estimated that in the year 2001, 130,200 colorectal cases will be diagnosed in the United States. Also over the next year, 56,300 Americans will die of this disease. Colorectal cancer ranks third in estimated cancer deaths, behind lung and prostate cancer in men, and lung and breast cancer in women (1). The vast majority of these patients die of metastases (2,3). Among patients diagnosed with colorectal cancer, during the course of their illness, the liver will become involved in 40-70% of cases. It has been well documented that the treatment of choice, on first presentation of hepatic metastases, is surgical resection (4–7). Numerous series report 5-year survival rates of 22%–39%, with an average around 30% (4–7). Unfortunately, this means that 70% of patients will recur after hepatic resection for colorectal metastases. Among these patients, about 30% will present with liver only recurrences, and about one third to one half of these will be candidates for a second hepatic resection (2,3).

Keywords

Liver Resection Hepatic Resection Hepatic Metastasis Extrahepatic Disease Colorectal Metastasis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media Dordrecht 2001

Authors and Affiliations

  • Konstantine Avradopolous
    • 1
  • Harold J. Wanebo
    • 1
  • Sam G. Pappas
    • 2
  1. 1.Roger Williams Medical CenterProvidenceUSA
  2. 2.Northwestern University Medical SchoolChicagoUSA

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