Attaching importance to diagnosis and treatment of peritoneal metastases from colorectal cancer
10.3760/cma.j.issn.1673-9752.2018.02.004
- VernacularTitle:重视结直肠癌腹膜转移的合理诊断与治疗
- Author:
Aiwen WU
1
;
Guoli HE
Author Information
1. 100142,北京大学肿瘤医院暨北京市肿瘤防治研究所胃肠肿瘤中心恶性肿瘤发病机制及转化研究教育部重点实验室
- Keywords:
Colonic neoplasms;
Rectal neoplasms;
Peritoneal metastasis,colorectal cancer;
Cytoreductive surgery and hyperthermic intraoperative intraperitoneal chemotherapy;
Individualized treatment
- From:
Chinese Journal of Digestive Surgery
2018;17(2):138-142
- CountryChina
- Language:Chinese
-
Abstract:
Peritoneal metastasis from colorectal cancer (CRC) are generally considered to be end-stage disease of CRC,which has greatly impacted the prognosis and quality of life of patients.In recent years,cytoreductive surgery and hyperthermic intraoperative intraperitoneal chemotherapy following systemic control has gradually been accepted for the treatment of peritoneal metastasis from CRC.Unfortunately,it has not widely used in clinical practice for the reasons of instruments,experience,surgical complexity,postoperative complications and cost-effectiveness.There is still no sufficient importance attached to CRC with peritoneal metastasis.Researches on the mechanism and treatment of peritoneal metastasis should be encouraged.Screening of high risk patients for early intervention to reduce incidence of peritoneal metastasis,selecting effective regimens and exploring optimal model for patients with other distal metastasis to improve the outcome of patients may be of importance.