结直肠癌肝转移的规范化治疗
Standardized treatment of colorectal liver metastases
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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。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 multidisciplinary treatment are discussed.