The role of local therapy in the management of lung and liver oligometastases.

Autor: Lo SS; Case Western Reserve University, Cleveland, OH, USA. simon.lo@uhhospitals.org, Moffatt-Bruce SD, Dawson LA, Schwarz RE, Teh BS, Mayr NA, Lu JJ, Grecula JC, Olencki TE, Timmerman RD
Jazyk: angličtina
Zdroj: Nature reviews. Clinical oncology [Nat Rev Clin Oncol] 2011 May 24; Vol. 8 (7), pp. 405-16. Date of Electronic Publication: 2011 May 24.
DOI: 10.1038/nrclinonc.2011.75
Abstrakt: Despite recent advances in oncologic therapy, an important proportion of patients with primary cancer will develop distant metastasis. The standard therapy for metastatic cancer is systemic therapy, which typically does not yield excellent response rates for most solid tumors. Data in the literature support the existence of a state of limited metastasis or oligometastasis. Favorable outcomes have been observed in selected patients with oligometastases that are treated with local ablative therapies, which include surgical extirpation, stereotactic body radiation therapy, and radiofrequency ablation. Lung and liver are the two most common sites of oligometastases considered for local ablative therapy and this Review will focus on the role of local therapy in oligometastases that arise in these organs.
Databáze: MEDLINE