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Organ sparing to cure stage IV rectal cancer: A case report and review of literature

World Journal of Gastrointestinal Surgery 2023年第11期15卷 2619-2626页

作者： Hélène Meillat Jonathan Garnier Anais Palen Jacques Ewald Cécile de Chaisemartin marguerite tyran Emmanuel Mitry Bernard Lelong Department of Digestive Surgical Oncology Institut Paoli CalmettesMarseille 13009France Department of Radiotherapy Institut Paoli CalmettesMarseille 13009France

BACKGROUND Rectal sparing is an option for some rectal cancers with complete or good response after chemoradiotherapy(CRT);however,it has never been evaluated in patients with *** assessed long-term outcomes of a rectal-sparing approach in a liver-first strategy for patients with rectal cancer with resectable liver *** SUMMARY We examined patients who underwent an organ-sparing approach for rectal cancer with synchronous liver metastases using a liver-first strategy during 2010-2015(n=8).Patients received primary chemotherapy and pelvic *** surgery was performed during the interval between CRT completion and rectal tumor *** and oncological characteristics and long-term outcomes were *** SUMMARY All patients underwent liver metastatic resection with curative *** R0 rate was 100%.Six and two patients underwent local excision and a watch-and-wait(WW)approach,*** patients had T3N1 tumors at diagnosis and had good clinical response after *** median survival time was 60(range,14-127)*** patients were disease free for 5,8,and 10 years after the *** patients developed metastatic recurrence in the liver(n=5)and/or lungs(n=2).Only one patient developed local recurrence concurrent with metastatic recurrence 24 mo after the WW *** patients died during *** The results suggest good local control in patients undergoing organ-sparing strategies for rectal cancer with synchronous liver *** trials are required to validate these data and identify good candidates for these strategies.

关键词： Colorectal cancer Liver metastasis Rectal sparing Pver-first strategy

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