Tuesday 9 October 2012

MCQ revision - Liver metastases from colorectal carcinoma

  • 50% of patients with colorectal carcinoma will develop liver metastases
  • The median survival with liver metastases is 1 year
  • Criteria for resection
    • Less than 3 metastases
    • Single lobe involvement
    • At least 20% of the liver must be spared
    • No evidence of IVC invasion
  • Hepatic resection is a potentially curative procedure
  • Radiofrequency ablation is not curative but is an alternative to surgically non-resectable metastases. It can get rid of up to 90% of metastases. 

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