Colorectal cancer: Metastases to a single organ

Sina Vatandoust, Timothy Price, Christos Karapetis

Research output: Contribution to journalArticle

78 Citations (Scopus)

Abstract

Colorectal cancer (CRC) is a common malignancy worldwide. In CRC patients, metastases are the main cause of cancer-related mortality. In a group of metastatic CRC patients, the metastases are limited to a single site (solitary organ); the liver and lungs are the most commonly involved sites. When metastatic disease is limited to the liver and/or lungs, the resectability of the metastatic lesions will dictate the management approach and the outcome. Less commonly, the site of solitary organ CRC metastasis is the peritoneum. In these patients, cytoreduction followed by hyperthermic intraperitoneal chemotherapy may improve the outcome. Rarely, CRC involves other organs, such as the brain, bone, adrenals and spleen, as the only site of metastatic disease. There are limited data to guide clinical practice in these cases. Here, we have reviewed the disease characteristics, management approaches and prognosis based on the metastatic disease site in patients with CRC with metastases to a single organ.

Original languageEnglish
Pages (from-to)11767-11776
Number of pages10
JournalWorld Journal of Gastroenterology
Volume21
Issue number41
DOIs
Publication statusPublished - 2015

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