Successful Combined Treatment of a Patient with Borderline Resectable Liver Metastasis of Colorectal Cancer
Aim: to present the value of interventional radiology techniques in the treatment of a patient with liver metastasis of colorectal cancer.Key points. In 2013, a 60-year-old patient with stage IIIB sigmoid colon cancer, pT3N2M0 underwent resection of the sigmoid colon with the formation of hardware r...
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Language: | Russian |
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Gastro LLC
2023-05-01
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Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
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Online Access: | https://www.gastro-j.ru/jour/article/view/693 |
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author | O. Yu. Stukalova A. A. Polikarpov A. V. Moiseenko D. A. Granov |
author_facet | O. Yu. Stukalova A. A. Polikarpov A. V. Moiseenko D. A. Granov |
author_sort | O. Yu. Stukalova |
collection | DOAJ |
description | Aim: to present the value of interventional radiology techniques in the treatment of a patient with liver metastasis of colorectal cancer.Key points. In 2013, a 60-year-old patient with stage IIIB sigmoid colon cancer, pT3N2M0 underwent resection of the sigmoid colon with the formation of hardware rectosigmoanastomosis, 6 courses of adjuvant chemotherapy were performed. In 2015, a control examination revealed metastatic liver damage. Liver resection could not be performed due to the small future residual volume, and systemic chemotherapy was not effective. The patient underwent 3 cycles of regional chemotherapy. Taking into account the pronounced positive dynamics, in the form of a decrease in tumor size and a decrease in cancer markers, the patient managed to perform an extended right-sided hemihepatectomy. No progression of the tumor process was detected during the follow-up.Conclusion. Modern possibilities of X-ray endovascular methods allow to achieve results in the treatment of patients with colorectal cancer metastases in the liver such as a decrease in metastases in size, that make liver resection possible. |
format | Article |
id | doaj-art-bce276a8c20344c199bb0fb56274f8a8 |
institution | Kabale University |
issn | 1382-4376 2658-6673 |
language | Russian |
publishDate | 2023-05-01 |
publisher | Gastro LLC |
record_format | Article |
series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
spelling | doaj-art-bce276a8c20344c199bb0fb56274f8a82025-02-10T16:14:37ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732023-05-01326657110.22416/1382-4376-2022-32-6-65-71522Successful Combined Treatment of a Patient with Borderline Resectable Liver Metastasis of Colorectal CancerO. Yu. Stukalova0A. A. Polikarpov1A. V. Moiseenko2D. A. Granov3Central Clinical Hospital “RZhD-Medicine”Russian Scientific Center of Radiology and Surgical Technologies named after Academician A.M. GranovRussian Scientific Center of Radiology and Surgical Technologies named after Academician A.M. GranovRussian Scientific Center of Radiology and Surgical Technologies named after Academician A.M. Granov; First St. Petersburg State Medical University named after Academician I.P. PavlovAim: to present the value of interventional radiology techniques in the treatment of a patient with liver metastasis of colorectal cancer.Key points. In 2013, a 60-year-old patient with stage IIIB sigmoid colon cancer, pT3N2M0 underwent resection of the sigmoid colon with the formation of hardware rectosigmoanastomosis, 6 courses of adjuvant chemotherapy were performed. In 2015, a control examination revealed metastatic liver damage. Liver resection could not be performed due to the small future residual volume, and systemic chemotherapy was not effective. The patient underwent 3 cycles of regional chemotherapy. Taking into account the pronounced positive dynamics, in the form of a decrease in tumor size and a decrease in cancer markers, the patient managed to perform an extended right-sided hemihepatectomy. No progression of the tumor process was detected during the follow-up.Conclusion. Modern possibilities of X-ray endovascular methods allow to achieve results in the treatment of patients with colorectal cancer metastases in the liver such as a decrease in metastases in size, that make liver resection possible.https://www.gastro-j.ru/jour/article/view/693colorectal cancerliver metastases |
spellingShingle | O. Yu. Stukalova A. A. Polikarpov A. V. Moiseenko D. A. Granov Successful Combined Treatment of a Patient with Borderline Resectable Liver Metastasis of Colorectal Cancer Российский журнал гастроэнтерологии, гепатологии, колопроктологии colorectal cancer liver metastases |
title | Successful Combined Treatment of a Patient with Borderline Resectable Liver Metastasis of Colorectal Cancer |
title_full | Successful Combined Treatment of a Patient with Borderline Resectable Liver Metastasis of Colorectal Cancer |
title_fullStr | Successful Combined Treatment of a Patient with Borderline Resectable Liver Metastasis of Colorectal Cancer |
title_full_unstemmed | Successful Combined Treatment of a Patient with Borderline Resectable Liver Metastasis of Colorectal Cancer |
title_short | Successful Combined Treatment of a Patient with Borderline Resectable Liver Metastasis of Colorectal Cancer |
title_sort | successful combined treatment of a patient with borderline resectable liver metastasis of colorectal cancer |
topic | colorectal cancer liver metastases |
url | https://www.gastro-j.ru/jour/article/view/693 |
work_keys_str_mv | AT oyustukalova successfulcombinedtreatmentofapatientwithborderlineresectablelivermetastasisofcolorectalcancer AT aapolikarpov successfulcombinedtreatmentofapatientwithborderlineresectablelivermetastasisofcolorectalcancer AT avmoiseenko successfulcombinedtreatmentofapatientwithborderlineresectablelivermetastasisofcolorectalcancer AT dagranov successfulcombinedtreatmentofapatientwithborderlineresectablelivermetastasisofcolorectalcancer |