Rectal cancer with synchronous liver metastases: Do we have a clear direction?
Rectal cancer is a common entity and often presents with synchronous liver metastases. There are discrepancies in management guidelines throughout the world regarding the treatment of advanced rectal cancer, which are further compounded when it presents with synchronous liver metastases. The following article examines the evidence regarding treatment options for patients with synchronous rectal liver metastases and suggests potential treatment algorithms.
Exeter Surgical Health Services Research Unit (HESRU), Royal Devon and Exeter NHS Foundation Trust, Barrack Road, Exeter, EX2 5DW, UK. Electronic address: drsamirpathak@gmail.com.
S
S
Pathak
Department of HpB Surgery, University Hospital Aintree, Longmoor Lane, Liverpool, L9 7AL, UK.
Q M
QM
Nunes
Exeter Surgical Health Services Research Unit (HESRU), Royal Devon and Exeter NHS Foundation Trust, Barrack Road, Exeter, EX2 5DW, UK.
I R
IR
Daniels
Exeter Surgical Health Services Research Unit (HESRU), Royal Devon and Exeter NHS Foundation Trust, Barrack Road, Exeter, EX2 5DW, UK.
N J
NJ
Smart
Department of HpB Surgery, University Hospital Aintree, Longmoor Lane, Liverpool, L9 7AL, UK.
G J
GJ
Poston
Department of Surgical Science, University Hospital, 751 85, Uppsala, Sweden.
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L
Påhlman
D000465:Algorithms; D003131:Combined Modality Therapy; D019468:Disease Management; D006801:Humans; D008099:Liver / Q000473:pathology*; D008113:Liver Neoplasms / Q000556:secondary* / Q000628:therapy*; D012004:Rectal Neoplasms / Q000473:pathology* / Q000628:therapy*
Liver metastases; Management; Rectal cancer; Synchronous rectal liver metastases