Surgery for Liver Metastasis of Non-Colorectal and Non-Neuroendocrine Tumors

Surgery has become well established for patients with colorectal and neuroendocrine liver metastases. However, the value of this procedure in non-colorectal and non-neuroendocrine metastases (NCRNNELMs) remains unclear. We analyzed the outcomes of patients that underwent liver surgery for NCRNNELMs...

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Veröffentlicht in:Journal of clinical medicine 2022-03, Vol.11 (7), p.1906
Hauptverfasser: Katou, Shadi, Schmid, Franziska, Silveira, Carolina, Schäfer, Lina, Naim, Tizian, Becker, Felix, Radunz, Sonia, Juratli, Mazen A, Seifert, Leon Louis, Heinzow, Hauke, Struecker, Benjamin, Pascher, Andreas, Morgul, M Haluk
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container_issue 7
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container_title Journal of clinical medicine
container_volume 11
creator Katou, Shadi
Schmid, Franziska
Silveira, Carolina
Schäfer, Lina
Naim, Tizian
Becker, Felix
Radunz, Sonia
Juratli, Mazen A
Seifert, Leon Louis
Heinzow, Hauke
Struecker, Benjamin
Pascher, Andreas
Morgul, M Haluk
description Surgery has become well established for patients with colorectal and neuroendocrine liver metastases. However, the value of this procedure in non-colorectal and non-neuroendocrine metastases (NCRNNELMs) remains unclear. We analyzed the outcomes of patients that underwent liver surgery for NCRNNELMs and for colorectal liver metastases (CRLMs) between 2012 and 2017 at our institution. Prognostic factors of overall and recurrence-free survival were analyzed, and a comparison of survival between two groups was performed. Seventy-three patients (30 NCRNNELM and 43 CRLM) were included in this study. Although the mean age, extrahepatic metastases, and rate of reoperation were significantly different between the groups, recurrence-free survival was comparable. The 5-year overall survival rates were 38% for NCRNNELM and 55% for CRLM. In univariate analysis, a patient age of ≥60 years, endodermal origin of the primary tumor, and major complications were negative prognostic factors. Resection for NCRNNELM showed comparable results to resection for CRLM. Age, the embryological origin of the primary tumor, and the number of metastases might be the criteria for patient selection.
doi_str_mv 10.3390/jcm11071906
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subjects Breast cancer
Cancer therapies
Clinical medicine
Disease
Esophagus
Hepatectomy
Interdisciplinary aspects
Liver
Medical prognosis
Metastasis
Neuroendocrine tumors
Patients
Surgery
Surgical outcomes
Surgical techniques
title Surgery for Liver Metastasis of Non-Colorectal and Non-Neuroendocrine Tumors
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