Surgery and metastases of stomach cancer in liver
https://doi.org/10.33667/2078-5631-2020-29-21-24
Abstract
Liver metastases of gastric cancer determine the poor prognosis. Until now The expediency of their surgical removal has been controversial. However, according to a number of studies, the removal of potentially operable isolated liver metastases allows a significant increase of overall and relapse-free survival in some cases. The review is dedicated to the analysis of prognostic factors that allow selecting patients for surgical removal of liver metastases of gastric cancer. The main criteria are: effective perioperative chemotherapy; stage under T4, N0, absence of lymphovascular invasion, absence of peritoneal dissemination, number less than 3, size up to 4 cm, localization of metastases in one lobe, low level of cancer markers CA 19-9 and CEA.
About the Authors
F. M. Dzhuraev
National Medical Research Centre of Oncology n.a. N.N. Blokhin
Russian Federation
Moscow.
Russian Federation
Moscow.
S. L. Gutorov
National Medical Research Centre of Oncology n.a. N.N. Blokhin
Russian Federation
Moscow.
Russian Federation
Moscow.
E. I. Borisova
National Medical Research Centre of Oncology n.a. N.N. Blokhin
Russian Federation
Moscow.
Russian Federation
Moscow.
G. G. Khakimova
National Medical Research Centre of Oncology n.a. N.N. Blokhin
Russian Federation
Moscow.
Russian Federation
Moscow.
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Review
For citations:
Dzhuraev F.M., Gutorov S.L., Borisova E.I., Khakimova G.G. Surgery and metastases of stomach cancer in liver. Medical alphabet. 2020;(29):21-24. (In Russ.) https://doi.org/10.33667/2078-5631-2020-29-21-24
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