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Management of Recurrent and Metastatic Colorectal
Oleh:
Asbun, Horacio J.
;
Hughes, Kevin S.
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
The Surgical Clinics of North America (Keterangan: ada di ClinicalKey) vol. 73 no. 1 (Feb. 1993)
,
page 145.
Isi artikel
When metastatic or recurrent colorectal carcinoma is detected, the surgeon must decide whether or not the patient is a candidate for resection. Although long-term survival after resection is far from Optimal, the relegation of patients to nonresective treatment means denying them the only chance for cure currently available. When isolated disease involving the liver, the lung, or the region of the primary carcinoma is documented, curative resection must be considered. Symptomatic patients also may obtain maximal palliation from resection, diversion, or a bypass procedure. Chemotherapy for the treatment of patients with recurrent disease is palliative and should be considered only within clinical trials. Future alternative methods of treatment or new chemotherapeutic regimens need to be studied in an attempt to improve survival and quality of life.
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