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Reverse-approach in colorectal cancer liver metastases: Patient selection is key

Published:November 29, 2022DOI:https://doi.org/10.1016/j.surg.2022.11.003
      We read with special interest the article by Dumarco et al

      Dumarco RB, Fonseca GM, Coelho FF, et al. Multiple colorectal liver metastases resection can offer long-term survival: the concept of a chronic neoplastic disease [e-pub ahead of print]. Surgery. https://doi.org/10.1016/j.surg.2022.08.032. Accessed November 2, 2022.

      published in October 2022. Colorectal cancer liver metastases (CCLM) represent a unique area regarding liver surgery, in which new concepts emerge and are refined continuously. It becomes even more important as we are dealing with a highly prevalent disease, the second cause of cancer-related mortality all over the world.
      The International Agency for Research on Cancer (IARC)
      New global cancer data: GLOBOCAN 2018.
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      References

      1. Dumarco RB, Fonseca GM, Coelho FF, et al. Multiple colorectal liver metastases resection can offer long-term survival: the concept of a chronic neoplastic disease [e-pub ahead of print]. Surgery. https://doi.org/10.1016/j.surg.2022.08.032. Accessed November 2, 2022.

        • The International Agency for Research on Cancer (IARC)
        New global cancer data: GLOBOCAN 2018.
        • Giuliante F.
        • Viganò L.
        • De Rose A.
        • et al.
        Liver-first approach for synchronous colorectal metastases: analysis of 7360 patients from the LiverMetSurvey Registry.
        Ann Surg Oncol. 2021; 28: 8198-8208
        • Renzulli M.
        • Clemente A.
        • Ierardi A.
        • et al.
        Imaging of colorectal liver metastases: new developments and pending issues.
        Cancers (Basel). 2020; 12: 151

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