结直肠癌肝转移的规范化治疗

邢宝才

doi:10.3760/cma.j.issn.1673-9752.2013.06.004

结直肠癌肝转移的规范化治疗

邢宝才

100142 北京大学肿瘤医院肝胆胰外一科

基金项目: 北京市自然科学基金(12G30666)

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出版历程

Standardized treatment of colorectal liver metastases

XING Bao cai

First Department of Hepatopancreatobiliary Surgery, Cancer Hospital, Peking University, Beijing 100142, China

摘要

摘要:
结直肠癌发病率逐年升高，超过50%的患者会发生肝转移。随着治疗理念的不断发展以及治疗水平的提高，结直肠癌肝转移目前被认为是潜在可治愈性疾病，其预后也有了显著改善。但是，如何选择治疗方法的问题也随之产生。对于结直肠癌肝转移的规范化治疗，应该包括影像学检查，治疗方式的选择以及多学科团队(MDT)诊断治疗等多个方面，同时应该针对患者制订个体化治疗方案。笔者就结直肠癌肝转移影像学检查方式的选择，不同治疗方法的疗效比较，肝转移灶的外科治疗以及MDT诊断治疗模式等内容进行讨论。
- 结直肠肿瘤 /
- 肝转移 /
- 规范化治疗
Abstract:
The incidence of colorectal cancer increased yearly, and more than 50% patients had liver metastases. As continuous development of recognition and treatment of colorectal liver metastases, it now has been reckoned as a potentially curable disease, and its prognosis has been improved significantly. However, how to choose the reasonable treatment is a problem for us. The standardized treatment of colorectal liver metastases should include imaging examination, surgical treatment and multi-disciplinary treatment, and individualized treatment should be considered. In this article, the selection of proper imaging examination, comparison of different treatment methods, surgical treatment of liver metastases and multidisciplinary treatment are discussed.
- Colorectal neoplasms /
- Liver metastases /
- Standardized treatment