Ponovne operacije jeter pri recidivu zasevkov raka debelega črevesa in danke
Repeat liver surgeries in the recidive of colorectal cancer metastases
a case study
Keywords:
liver, colorectal neoplasms, colon cancer, forecastAbstract
Pri polovici bolnikov z rakom debelega črevesa in danke se lahko pojavijo zasevki v jetrih. Multidisciplinarna obravnava predstavlja temelj uspešnega zdravljenja, resekcija jeter pa je edina potencialno kurativna oblika terapije. Kljub uspešni operaciji pa se lahko jetrni zasevki kasneje ponovijo. Tudi v takšnem primeru je smiselno znova začeti zdravljenje, ki zajema kombinacijo kemoterapije, tarčnih zdravil in načrtovanja ponovnih jetrnih resekcij. Nekateri bolniki živijo brez ponovitve obolenja več let po začetku zdravljenja.Abstract (Eng)
Half of colorectal cancer patients may develop liver metastases. Multidisciplinary management is the basis for successful treatment, and liver resection represents the only potentially curative form of therapy. Despite a successful surgery, liver metastases may later recur. In such cases, it is wise to restart treatment with a combination of chemotherapy and target drugs, and to plan repeat liver resections. After the treatment, some patients can live for years without disease recurrence.Downloads
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