Treatment intention and outcome in patients with simultaneously diagnosed liver and lung metastases from colorectal cancer

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Engstrand, JennieKarolinska Institutet,Karolinska Inst, Sweden; Karolinska Univ Hosp, Sweden; Karolinska Inst, Sweden; Karolinska Univ Hosp, Sweden (author)

Treatment intention and outcome in patients with simultaneously diagnosed liver and lung metastases from colorectal cancer

Article/chapterEnglish2022

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Elsevier Science Ltd,2022
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LIBRIS-ID:oai:DiVA.org:liu-189341
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-189341URI
https://doi.org/10.1016/j.ejso.2022.03.006DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:150798540URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

Background: The aim was to assess the likelihood of patients with simultaneously diagnosed liver and lung metastases (SLLM) from colorectal cancer (CRC) to receive the curative treatment decided upon multidisciplinary team meeting (MDT) and to elaborate on the reasons for treatment intention failure and survival outcomes depending on final treatment strategy.Method: The study included a retrospective review of all patients discussed at the MDT at a single centre between 2010 and 2018 to identify all patients presenting with SLLM from CRC. Treatment intention, actual treatment outcome and reasons for treatment failure was documented. Descriptive and survival statistics were applied.Results: Of the 160 patients who had SLLM, resection of all metastatic sites was deemed possible in 107 patients (67%) of whom 39 patients (36%) finalized the curative treatment plan. The most common reason for noncompliance with management recommendations was disease progression or recurrence. Complete resection resulted in longer survival compared to patients who did not undergo resection of all metastatic sites with median survival of 63 and 27 months, respectively (p < 0.001).Conclusion: A low proportion of patients completed the initially intended curative resections. Simulta-neous resection of liver/lung metastases and primary tumour might increase the proportion of fulfilled hepatopulmonary resections.(c) 2022 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
Colorectal cancer; Liver metastases; Lung metastases; Surgery; Simultaneous metastases

Added entries (persons, corporate bodies, meetings, titles ...)

Sterner, JohannaDanderyd Hosp, Sweden (author)
Hasselgren, KristinaLinköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken US(Swepub:liu)kriha98 (author)
Stromberg, CeciliaKarolinska Institutet,Karolinska Inst, Sweden; Karolinska Univ Hosp, Sweden (author)
Sturesson, ChristianKarolinska Institutet,Karolinska Inst, Sweden; Karolinska Univ Hosp, Sweden (author)
Karolinska InstitutetKarolinska Inst, Sweden; Karolinska Univ Hosp, Sweden; Karolinska Inst, Sweden; Karolinska Univ Hosp, Sweden (creator_code:org_t)

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In:European Journal of Surgical Oncology: Elsevier Science Ltd48:8, s. 1799-18060748-79831532-2157

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