Rectal cancer with synchronous liver metastases: Do we have a clear direction?

S Pathak; Q M Nunes; I R Daniels; N J Smart; G J Poston; L Påhlman

doi:10.1016/j.ejso.2015.09.013

Rectal cancer with synchronous liver metastases: Do we have a clear direction?

Eur J Surg Oncol. 2015 Dec;41(12):1570-7. doi: 10.1016/j.ejso.2015.09.013. Epub 2015 Oct 13.

Authors

S Pathak¹, Q M Nunes², I R Daniels³, N J Smart³, G J Poston², L Påhlman⁴

Affiliations

¹ Exeter Surgical Health Services Research Unit (HESRU), Royal Devon and Exeter NHS Foundation Trust, Barrack Road, Exeter, EX2 5DW, UK. Electronic address: drsamirpathak@gmail.com.
² Department of HpB Surgery, University Hospital Aintree, Longmoor Lane, Liverpool, L9 7AL, UK.
³ Exeter Surgical Health Services Research Unit (HESRU), Royal Devon and Exeter NHS Foundation Trust, Barrack Road, Exeter, EX2 5DW, UK.
⁴ Department of Surgical Science, University Hospital, 751 85, Uppsala, Sweden.

PMID: 26497090
DOI: 10.1016/j.ejso.2015.09.013

Abstract

Rectal cancer is a common entity and often presents with synchronous liver metastases. There are discrepancies in management guidelines throughout the world regarding the treatment of advanced rectal cancer, which are further compounded when it presents with synchronous liver metastases. The following article examines the evidence regarding treatment options for patients with synchronous rectal liver metastases and suggests potential treatment algorithms.

Keywords: Liver metastases; Management; Rectal cancer; Synchronous rectal liver metastases.

Publication types

Review

MeSH terms

Algorithms
Combined Modality Therapy
Disease Management*
Humans
Liver / pathology*
Liver Neoplasms / secondary*
Liver Neoplasms / therapy*
Rectal Neoplasms / pathology*
Rectal Neoplasms / therapy*