Simultaneous curative resection of double colorectal carcinoma with synchronous bilobar liver metastases

doi:10.4251/wjgo.v10.i10.293

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World Journal of Gastrointestinal Oncology

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1948-5204

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Oncol. Oct 15, 2018; 10(10): 293-316
Published online Oct 15, 2018. doi: 10.4251/wjgo.v10.i10.293

Table 2 Diagnostic evaluation of synchronous colorectal liver metastases

Local tumour staging CT and/or MRI of the liver, to evaluate Number and location of CRLM Tumour-vessels relationship Pattern of the hepatic vasculature Presence of anatomical variations Future remnant liver volumes

Intraoperative assessment Intraoperative ultrasonography

Evaluation of metastatic disease CT of the chest, abdomen, and pelvis MRI of the chest, abdomen, and pelvis, in selected cases 18FDG-PET–CT

Patient performance status Thorough evaluation of coexisting morbidities Pulmonary function tests Echocardiography

In the case of suspected liver disease/steatosis include (elderly patients, metabolic syndrome, previous systemic CHT, etc.) Liver function tests Evaluation of the grade of steatosis, in selected cases

CT: Computer tomography; CRLM: Colorectal cancer and synchronous liver metastases; CHT: Chemotherapy; MRI: Magnetic resonance imaging; PET-CT: Positron emission tomography/computer tomography.

Citation: De Raffele E, Mirarchi M, Cuicchi D, Lecce F, Ricci C, Casadei R, Cola B, Minni F. Simultaneous curative resection of double colorectal carcinoma with synchronous bilobar liver metastases. World J Gastrointest Oncol 2018; 10(10): 293-316
URL: https://www.wjgnet.com/1948-5204/full/v10/i10/293.htm
DOI: https://dx.doi.org/10.4251/wjgo.v10.i10.293