大肠癌肝转移综合治疗进展__培训课件.pptVIP

* We do not see an argument for excluding patients with 4 or more lesions from resections. If the number of metastases is considered in relation to the need for an R0 resection, a technical limit of resectability becomes obvious, particularly in the presence of randomly distributed lesions. It should be recognized that the number of patients who have actually had curative resection of four or more metastases is still small but 5-year DFS is at least possible, and is more dependent on complete tumor clearance than the number of nodules. * Up to 19 % have microscopic invasion Factor of poor