title: Management of oligometastatic rectal cancer: is liver first?
abstract: Twenty percent of patients with rectal cancer present with synchronous liver metastases at the time of initial diagnosis. These patients can be treated with a curative intent, although the choice and sequence of treatment modalities are not well established and are commonly debated in multi-disciplinary tumor boards. In this article we review clinical evidence for various treatment approaches and attempt to formulate a pathway for clinicians to use in evaluating and managing these patients.
authors.affiliation: 1 Department of Radiation Medicine, Oregon Health & Science University, Portland, Oregon, USA ; 2 Tuality OHSU Cancer Center, Hillsboro, Oregon, USA ; 3 Department of Surgery, Oregon Health & Science University, Portland, Oregon, USA.
authors.forename: Timur
authors.initials: T
authors.lastname: Mitin
authors.affiliation: 1 Department of Radiation Medicine, Oregon Health & Science University, Portland, Oregon, USA ; 2 Tuality OHSU Cancer Center, Hillsboro, Oregon, USA ; 3 Department of Surgery, Oregon Health & Science University, Portland, Oregon, USA.
authors.forename: C Kristian
authors.initials: CK
authors.lastname: Enestvedt
authors.affiliation: 1 Department of Radiation Medicine, Oregon Health & Science University, Portland, Oregon, USA ; 2 Tuality OHSU Cancer Center, Hillsboro, Oregon, USA ; 3 Department of Surgery, Oregon Health & Science University, Portland, Oregon, USA.
authors.forename: Charles R
authors.initials: CR
authors.lastname: Thomas
keywords: Rectal cancer; oligometastatic; radiation therapy; review; surgery
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