Surgical Management of Genitourinary Cancer Liver Metastases
| Autor: | Kimberly A. Bertens, Christina Canil, Guillaume Martel |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Gastroenterology Metastasis 03 medical and health sciences Prostate cancer 0302 clinical medicine Renal cell carcinoma Internal medicine medicine Hepatectomy Humans Carcinoma Renal Cell Chemotherapy Bladder cancer business.industry Liver Neoplasms Metastasectomy Prognosis medicine.disease Kidney Neoplasms Oncology 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery Germ cell tumors business |
| Zdroj: | Surgical Oncology Clinics of North America. 30:89-102 |
| ISSN: | 1055-3207 |
| Popis: | Genitourinary cancers are common. Liver metastases from genitourinary cancers are uncommon; isolated liver metastasis is rare. Liver resection in select patients with metastatic renal cell carcinoma can lead to prolonged survival. Patients with metachronous and low-burden disease are most likely to benefit. Chemotherapy is first-line treatment of metastatic germ cell tumors. Liver resection is dependent on germ cell lineage and initial response to chemotherapy. Prognosis with liver metastases from prostate cancer is poor; liver-only lesions are rare. Liver resection generally is not indicated. Cumulative experience with liver resection for metastatic bladder cancer is limited. Liver metastases are poor prognostic indicators for metastasectomy. |
| Databáze: | OpenAIRE |
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