Despite improvements in early diagnosis, 20% of patients with colorectal cancer have detached metastases already at the stage of diagnosis, and another 25-30% are detected during follow-up. The latest therapies - the emergence of new treatment regimens, improvements in surgical instruments and surgical techniques allow colorectal cancer metastases in the liver to be removed, with minimal interruption between cycles of chemotherapy.
Diagnosis:
Performing a CT scan of the 3 zones with IV contrast, performing an MRI of the OBP with IV contrast allows us to evaluate the size, degree of metastasis infiltration, area of perifocal inflammation, ratio of tumour foci to the veins and arteries of the liver, thus allowing a multidisciplinary team consisting of a radiation diagnostician, an oncological surgeon, a chemotherapist oncologist, a radiation oncologist rehabilitation therapist to build a 3D visualisation of the liver tumours, assess the resectability of metastases, select the date of surgery between cycles of drug therapy, prescribe pre-rehabilitation and rehabilitation, thereby reducing the risk of postoperative complications, obtain R0 resection status, and continue drug therapy without delays in treatment.