Combination of surgery and chemotherapy and the role of targeted agents in the treatment of patients with colorectal liver metastases: Recommendations from an expert panel

B. Nordlinger, E. Van Cutsem, T. Gruenberger, B. Glimelius, G. Poston, P. Rougie, A. Sobrero, M. Ychou

Research output: Contribution to journalArticlepeer-review

Abstract

The past 5 years have seen the clear recognition that the administration of chemotherapy to patients with initially unresectable colorectal liver metastases can increase the number of patients who can undergo potentially curative secondary liver resection. Coupled with this, recent data have emerged that show that perioperative chemotherapy confers a disease-free survival advantage over surgery alone in colorectal cancer (CRC) patients with initially resectable liver disease. The purpose of this paper is to build on the existing knowledge and review the issues surrounding the use of chemotherapy ± targeted agents combined with surgery in the treatment of CRC patients with liver metastases, with a view to providing clinical recommendations. An international panel of 21 experts in colorectal oncology comprising liver surgeons and medical oncologists reviewed the available evidence. In a major change to clinical practice, the panel's recommendation was that the majority of patients with CRC liver metastases should be treated up front with chemotherapy, irrespective of the initial resectability status of their metastases.

Original languageEnglish
Pages (from-to)985-992
Number of pages8
JournalAnnals of Oncology
Volume20
Issue number6
DOIs
Publication statusPublished - 2009

Keywords

  • Bevacizumab
  • Cetuximab
  • Colorectal
  • Liver metastases
  • Neo-adjuvant
  • Resection rate
  • Targeted agents

ASJC Scopus subject areas

  • Oncology
  • Hematology

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