2003
DOI: 10.1016/s1055-3207(02)00091-1
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A critical review of the major indicators of prognosis after resection of hepatic metastases from colorectal carcinoma

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Cited by 166 publications
(125 citation statements)
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“…The spreading of cells from the primary lesion to a secondary organ and the subsequent development of distant metastases is a key factor that limits patient survival rate. This remains one of the most complex issues faced in medicine (2).…”
Section: Introductionmentioning
confidence: 99%
“…The spreading of cells from the primary lesion to a secondary organ and the subsequent development of distant metastases is a key factor that limits patient survival rate. This remains one of the most complex issues faced in medicine (2).…”
Section: Introductionmentioning
confidence: 99%
“…Liver metastases can be resected with curative intent; however, the probability of achieving a cure is dependent on the number of tumor nodules and the disease-free interval. 16,17 Curative surgical resection is unlikely among patients with multiple (44) tumor nodules and less than 5-10% of patients who present with metastatic colorectal cancer are candidates for curative surgery. Currently, the 5-year survival after curative liver resection for colorectal metastases is 25-35%, depending on various risk factors.…”
mentioning
confidence: 99%
“…Currently, the 5-year survival after curative liver resection for colorectal metastases is 25-35%, depending on various risk factors. [17][18][19] Systemic and intrahepatic administration of chemotherapy has been used to reduce the recurrence rates for following surgical resection, but the overall improvement in median survival with these approaches has been modest. [19][20][21] We conducted phase I/II studies of Onyx-015, an oncolytic adenovirus attenuated due to deletion of the viral E1b 55k gene.…”
mentioning
confidence: 99%
“…Pre-operative imaging techniques, patient selection, surgical techniques, postoperative care and new cytotoxic and biologic agents for preoperative and post-operative treatment have dramatically improved the resectability rate of liver metastases. The old criteria for resectability of CLM have accordingly changed: number of metastases is not a risk factor for survival whenever a R0 resection (complete resection with no microscopic residual tumour) is achieved [127] . In spite of some conflicting reports, evidence shows that size is not a resectability factor, but a factor related to the aggressiveness of the tumour.…”
Section: Resectabilitymentioning
confidence: 99%