Lymphatic dissemination of hepatic metastases. Implications for the follow‐up and treatment of patients with colorectal cancer

摘要: Hepatic spread of colorectal cancer is a prominent cause treatment failure, but selected patients with liver metastases may attain long-term palliation or cure resection. A review the records 81 seen at National Cancer Institute for hepatic revealed 7 instances discovered operation within lymphatic drainage in absence other extrahepatic tumor. These were studied reference to location and stage primary colon time planned All seven had their disease limited nodes draining liver, implicating dissemination from as mechanism tumor spread. This pattern rendered these unresectable cure. If occur this implies need frequent thorough follow-up following resection cancer, indicates urgency metastases.