Abstract
The prognosis of patients with liver-only metastases of colorectal cancer varies significantly, depending mostly on technical resectability of metastases. Possible treatment modalities include surgical resection, methods of local ablative treatment, as well as systemic chemotherapy. Hereunder, we present a case of a 52-year-old male patient with colon cancer metastases limited initially to the liver, who underwent multimodality treatment consisting of systemic chemotherapy and several forms of localised treatment: radioembolisation, non-anatomical resection and thermoablation of liver metastases, and wedge resection of lung metastasis. Despite achieving long-lasting control of liver metastases, localised treatment resulted also in chronic thrombocytopaenia, which prevented introduction of optimal subsequent systemic treatment.
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