Revista ABCd (São Paulo). 08 May, 2025

METACHRONOUS COLORECTAL LIVER METASTASIS

Cássio Virgílio Cavalcante de OLIVEIRA
Rodolfo Carvalho SANTANA
Felipe José Fernandez COIMBRA
Alfred KOW
Timothy M. PAWLIK
Rene ADAM
Olivier SOUBRANE
Paulo HERMAN
Ricardo Lemos COTTA-PEREIRA
DOI: https://doi.org/10.1590/0102-6720202500005e1874

Deaths related to colorectal cancer are generally associated with its metastases that affect the liver (50%) through the hematogenous route. Approximately 20-25% of these patients already have synchronous metastases in the liver at the time of primary tumor diagnosis. In others, liver metastases will occur during the course of the disease and are called metachronous. Metachronous metastases are believed to have a better prognosis; however, 20-25% of metastatic cases can be resected during the course of the disease. There is a lack of consensus on the diagnostic time interval for metastases to be considered metachronous in the consulted literature. Surgical treatment of metastases and lymph nodes is indicated, and extrahepatic neoplastic disease must be carefully evaluated. Liver transplantation can benefit the patient, should be evaluated, and is indicated in some special situations.


. . .
Advanced Search
Indexed in:
Follow us!
ABCD – BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY is a periodic with a single annual volume in continuous publication, official organ of the Brazilian College of Digestive Surgery - CBCD. Technical manager: Dr. Francisco Tustumi | CRM: 157311 | RQE: 77151 - Cirurgia do Aparelho Digestivo

Developed by Surya MKT

Todos os direitos reservados © 2025