Treatment (with a curative intent) of extrahepatic colorectal metastases

摘要

The detection of extrahepatic metastases (EHM) from colorectal cancer is commonly considered a contraindication to resection of associated liver metatases (LM), and also, ever increasingly, a relative contraindication to resection of the primary tumour if asymptomatic. Progress in the understanding of the metastatic process, in imaging, in surgical techniques and in chemotherapy, are gradually modifying this attitude.