Abstract
Overall survival is usually determined by the number and the magnitude of liver metastases in colorectal cancer patients with synchronous hepatic metastases. Traditionally, the standard treatment of such patients are, firstly colorectal resection of the primary tumor, then if possible, the resection of liver metastases after chemotherapy. Here, we present a case of rectal cancer with synchronus liver metastasis which underwent reverse approach.
Highlights
Twenty to twenty-five percent of colorectal cancer patients have synchronous hepatic metastases on the first admission
The prognosis of patients with colorectal cancer is determined by mostly liver metastases
The traditional approach to the synchronous liver metastases of colorectal cancer is the removal of the primary tumor followed by the liver resection [2]
Summary
Twenty to twenty-five percent of colorectal cancer patients have synchronous hepatic metastases on the first admission. 10% to 20% of these patients are eligible for surgical resection [1]. The standart treatment of liver metastases are, firstly colorectal resection of the primary tumor, if possible, the resection of liver metastases after 3 to 6 cycles of chemotherapy. Minority of patients benefit from this treatment approach, because synchronous liver metastases usually show progression after the treatment of the primary tumor. The prognosis of patients with colorectal cancer is determined by mostly liver metastases. In this case report, "liver-first approach" method is discussed
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