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Current Colorectal Cancer Reports

, Volume 13, Issue 2, pp 126–135 | Cite as

Personalizing Locoregional Therapy for Patients with Metastatic Colorectal Cancer

  • Young Hong
  • Robert C. G. MartinIIEmail author
Personalized Medicine in Colorectal Cancer (D Cunningham and EC Smyth, Section Editors)
  • 104 Downloads
Part of the following topical collections:
  1. Topical Collection on Personalized Medicine in Colorectal Cancer

Abstract

Purpose of review

The management of metastatic colorectal liver disease has improved overall survival by multidisciplinary approach utilizing systemic treatment followed by local control of metastatic disease. There has been an evolution of local control therapy which has expanded the new armamentarium for treatment of resectable and unresectable liver disease. The review article will address the various types of locoregional therapy and various indications for its use.

Recent findings

The application of ablative therapies combined with resections has allowed single-stage resection for patients with bilobar disease with excellent safety and efficacy. In patients with unresectable colorectal metastasis to the liver, chemo- and radio-embolization have provided improved survival outcome compared to systemic chemotherapy alone.

Summary

Locoregional therapy for metastatic colorectal liver disease can improve outcome as an adjunctive role in combination with resection or as a sole therapy for patients with unresectable disease.

Keywords

Metastatic colorectal cancer Locoregional therapy Ablation Irreversible electroporation Radioembolization Chemoembolization 

Notes

Compliance with Ethical Standards

Conflict of Interest

Young Hong and Robert C.G. Martin II declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.Division of Surgical Oncology, Department of SurgeryUniversity of LouisvilleLouisvilleUSA

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