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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Main Authors: O. Yu. Stukalova, A. A. Polikarpov, A. V. Moiseenko, D. A. Granov
Format: Article
Language:Russian
Published: Gastro LLC 2023-05-01
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.
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issn 1382-4376
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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