Intrabiliary metastases in colorectal cancer : a systematic review
© 2019 Japanese Society of Hepato-Biliary-Pancreatic Surgery..
BACKGROUND: Liver metastases emerge during the course of colorectal cancer (CRC) in 25-50% of patients. A small proportion of patients present intrabiliary growth. The absence of large series means that little is known about intrabiliary metastasis (IBM), its radiological diagnosis, the most suitable surgical techniques, and its prognostic implications.
METHODS: A systematic search without limits was performed. The studies selected included patients with a diagnosis of CRC and associated IBM, either synchronous or metachronous.
RESULTS: Of 40 studies selected, 30 were case reports and 10 case series. The median time between diagnosis and IBM was 46.7 months (range 0-180). Most CRC metastases are CK7-/CK20+. Surgical treatment performed ranged from endoscopic resection to major hepatic resections combined with pancreatectomies. It seems that patients with IBM have a better survival than patients without this metastasis.
CONCLUSION: In a patient with a history of CRC presenting dilatation of the bile duct, IBM should be considered. More studies are needed to determine the most appropriate type of liver resection. It is also necessary to standardize the definition and terminology of this pathology, since the existing definitions may cause confusion and make it difficult to carry out case studies and case series.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019 |
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| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:26 |
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| Enthalten in: |
Journal of hepato-biliary-pancreatic sciences - 26(2019), 7 vom: 15. Juli, Seite 270-280 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Latorre Fragua, Raquel A [VerfasserIn] |
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| Links: |
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| Themen: |
68238-35-7 |
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| Anmerkungen: |
Date Completed 09.01.2020 Date Revised 09.01.2020 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1002/jhbp.635 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM297063286 |
|---|
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| 100 | 1 | |a Latorre Fragua, Raquel A |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Intrabiliary metastases in colorectal cancer |b a systematic review |
| 264 | 1 | |c 2019 | |
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| 500 | |a Date Completed 09.01.2020 | ||
| 500 | |a Date Revised 09.01.2020 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2019 Japanese Society of Hepato-Biliary-Pancreatic Surgery. | ||
| 520 | |a BACKGROUND: Liver metastases emerge during the course of colorectal cancer (CRC) in 25-50% of patients. A small proportion of patients present intrabiliary growth. The absence of large series means that little is known about intrabiliary metastasis (IBM), its radiological diagnosis, the most suitable surgical techniques, and its prognostic implications | ||
| 520 | |a METHODS: A systematic search without limits was performed. The studies selected included patients with a diagnosis of CRC and associated IBM, either synchronous or metachronous | ||
| 520 | |a RESULTS: Of 40 studies selected, 30 were case reports and 10 case series. The median time between diagnosis and IBM was 46.7 months (range 0-180). Most CRC metastases are CK7-/CK20+. Surgical treatment performed ranged from endoscopic resection to major hepatic resections combined with pancreatectomies. It seems that patients with IBM have a better survival than patients without this metastasis | ||
| 520 | |a CONCLUSION: In a patient with a history of CRC presenting dilatation of the bile duct, IBM should be considered. More studies are needed to determine the most appropriate type of liver resection. It is also necessary to standardize the definition and terminology of this pathology, since the existing definitions may cause confusion and make it difficult to carry out case studies and case series | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Systematic Review | |
| 650 | 4 | |a Biliary invasion | |
| 650 | 4 | |a Biliary metastasis | |
| 650 | 4 | |a Colorectal metastasis | |
| 650 | 4 | |a Intrabiliary extension | |
| 650 | 4 | |a Mimicking cholangiocarcinoma | |
| 650 | 7 | |a Biomarkers, Tumor |2 NLM | |
| 650 | 7 | |a Keratins |2 NLM | |
| 650 | 7 | |a 68238-35-7 |2 NLM | |
| 700 | 1 | |a Manuel Vazquez, Alba |e verfasserin |4 aut | |
| 700 | 1 | |a Rodrigues Figueira, Yuri |e verfasserin |4 aut | |
| 700 | 1 | |a Ramiro Pérez, Carmen |e verfasserin |4 aut | |
| 700 | 1 | |a López Marcano, Aylhin J |e verfasserin |4 aut | |
| 700 | 1 | |a de la Plaza Llamas, Roberto |e verfasserin |4 aut | |
| 700 | 1 | |a Ramia Ángel, Jose Manuel |e verfasserin |4 aut | |
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