Curbside Consultation in GI Cancer for the Gastroenterologist: 49 Clinical Questions

Douglas G. Adler, MD

Question 40: How Should Patients With A Solitary Liver Metastasis From Colon Cancer Be Evaluated And Treated? (continued)

Clifford S. Cho, MD, FACS

Improvements in chemotherapy, operative, and perioperative management have revolutionized the treatment of patients with hepatic metastases from colorectal adenocarcinoma. Favorable long-term survival outcomes can now be expected for a plurality of patients presenting with solitary liver metastases from colon cancer. However, the key to success when treating these patients is to understand how to best coordinate the use of medical and surgical oncologic therapies. Proper evaluation of liver metastases requires some familiarity with basic hepatic anatomy. The liver can be subdivided into 2…