Revista ABCd (São Paulo). 26 Jul, 2016

BRAZILIAN CONSENSUS FOR MULTIMODAL TREATMENT OF COLORECTAL LIVER METASTASES. MODULE 3: CONTROVERSIES AND UNRESECTABLE METASTASES

Orlando Jorge Martins TORRES
Márcio Carmona MARQUES
Fabio Nasser SANTOS
Igor Correia de FARIAS
Anelisa Kruschewsky COUTINHO
Cássio Virgílio Cavalcante de OLIVEIRA
Antonio Nocchi KALIL
Celso Abdon Lopes de MELLO
Jaime Arthur Pirola KRUGER
Gustavo dos Santos FERNANDES
Claudemiro QUIREZE JR
André M. MURAD
Milton José de BARROS E SILVA
Charles Edouard ZURSTRASSEN
Helano Carioca FREITAS
Marcelo Rocha CRUZ
Rui WESCHENFELDER
Marcelo Moura LINHARES
Leonaldson dos Santos CASTRO
Charles VOLLMER
Elijah DIXON
Héber Salvador de Castro RIBEIRO
Felipe José Fernandez COIMBRA
DOI: 10.1590/0102-6720201600030011

ABSTRACT

In the last module of this consensus, controversial topics were discussed. Management of the disease after progression during first line chemotherapy was the first discussion. Next, the benefits of liver resection in the presence of extra-hepatic disease were debated, as soon as, the best sequence of treatment. Conversion chemotherapy in the presence of unresectable liver disease was also discussed in this module. Lastly, the approach to the unresectable disease was also discussed, focusing in the best chemotherapy regimens and hole of chemo-embolization.


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