3.5 翻译后-case 9——肠癌肝转移手术范围的选择完成.pptxVIP

Case Discussion Colorectal Cancer with Liver Metastases History Male, 52y Complains: increased stool frequency for 1y and hematochezia for 1 month. Colonoscopy: circular lesion at 13cm from AV Biopsy: adenocarcinoma Abdominal MRI: multiple liver metastases Chest CT: (-) CEA 240ng/ul Treatment MDT: Staged resection (primarychemoliver resection) 2014.12: high anterior resection Pathology: pT3N0M1a Then: 3 cycles of CapOX MRI：Multiple metastases in both lobe Response：PR CEA：12ng/ul MRI after 3 cycles of chemo Liver volume measurement Remnant liver volume after resection : 26.7% ALPPS ALPPS st