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Diagnosis and Staging

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Book cover Surgical Treatment of Colorectal Liver Metastases

Part of the book series: Updates in Surgery ((UPDATESSURG))

Abstract

Over the past several decades, the 5-year survival rates after resection of colorectal liver metastases have almost doubled, from about 30% to about 60%. Among other factors, this improved survival has been attributed to better preoperative imaging techniques, which have improved patient selection. In patients being considered for surgical therapy of hepatic colorectal metastases, a high-quality crosssectional imaging study, either contrast-enhanced CT or MRI, should be performed to evaluate these metastases before surgery. MRI, however, is inferior to CT in the evaluation of extrahepatic disease but superior in patients after preoperative chemotherapy. PET/CT appears to improve patient selection and should be considered as part of the preoperative evaluation of resectability in high-risk patients.

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Authors and Affiliations

  1. Radiology Unit, Mauriziano “Umberto I” Hospital, Turin, Italy

    Stefano Cirillo

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  1. Stefano Cirillo
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Editors and Affiliations

  1. Division of Hepato-Bilio-Pancreatic and Digestive Surgery, Mauriziano “Umberto I” Hospital, Turin, Italy

    Lorenzo Capussotti (Chief of the Surgical Department, Director) (Chief of the Surgical Department, Director)

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© 2011 Springer-Verlag Italia

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Cirillo, S. (2011). Diagnosis and Staging. In: Capussotti, L. (eds) Surgical Treatment of Colorectal Liver Metastases. Updates in Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-1809-9_2

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  • DOI: https://doi.org/10.1007/978-88-470-1809-9_2

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  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-1808-2

  • Online ISBN: 978-88-470-1809-9

  • eBook Packages: MedicineMedicine (R0)

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