Documente Academic
Documente Profesional
Documente Cultură
approach of
colorectal cancer
liver metastases
GIAMMARIA FIORENTINI, DONATELLA SARTI,
CAMILLO ALIBERTI, RICCARDO CARANDINA,
ANDREA MAMBRINI, STEFANO GUADAGNI
INTRODUCTION
– Colorectal cancer (CRC) in an increasing global health issue with 1,4
million newly diagnosed CRC each year,and mortality rate up to 10%.
1. CT Scan;
2. MRI- contrast;
3. Positron Emission Tomography (PET) scan;
4. Intraoperative Ultrasound (IOUS)
CRITERIA FOR RESECTABILITY
CRC-LM for surgical resectability by The American Hepato-Pancreato-
Biliary Association (APHBA) are:
RFA disadvantage is the recurrence rate that is higher when the tumor is > 3
cm or when treatment is delivered percutaneously.
– Microwave ablation uses high frequency microwave radiation to
induce coagulation with necrosis of lesions.
Martin et al reported this method show a 6% local recurrence rate
using microwave ablation for CRC-LM.