Role of resection surgery in breast cancer liver metastases. Experience over the last 10 years in a reference hospital

Cirugía española
Tatiana BeldaJose Mir

Abstract

Breast cancer liver metastases (BCLM) are considered as a systemic disease which is mainly treated with chemotherapy, while the role of surgical resection still remains to be well defined. The aim of the study is to analyse the survival and prognostic factors predictive of mortality in patients with BCLM treated by liver resection. A total of 21 patients were operated on between 1998-2008, with liver resection being performed on 12. We retrospectively collected several variables. The mean age was 48 years. The most frequent stage was I, with curative surgery in all cases, and the majority (66.7%) received adjuvant treatment. The BCLM were mainly meta metachronic (83.3%). The majority (66.7%) received neoadjuvant treatment. The liver resection was R0 in all cases with no morbidity and a mortality in the long term of 8.3%. Two-thirds received chemotherapy. The estimated survival at one year was 67% and 23% at 5 years. A disease free period of less than 24 months between the primary tumour and the appearance of metastasis was associated with a worse survival. Resection of BCLM within a multimodal treatment is safe in selected patients.

References

May 19, 2000·Breast Cancer Research and Treatment·M YoshimotoF Kasumi
Nov 7, 2003·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·G AtalayUNKNOWN EORTC Breast Cancer and Early Clinical Studies Groups
Nov 24, 2006·Annals of Surgery·René AdamDenis Castaing
Nov 29, 2007·Journal of Surgical Oncology·Armin ThelenPeter Neuhaus

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Citations

Jul 27, 2011·Journal of Cancer Research and Clinical Oncology·Xiao Feng DuanQiang Li
May 13, 2015·Future Oncology·Petros CharalampoudisChristos Markopoulos
Sep 12, 2018·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Xiu-Mei BaiKun Yan
Dec 6, 2011·Hepatology Research : the Official Journal of the Japan Society of Hepatology·Xiao-Feng DuanQiang Li
Oct 22, 2020·Evidence-based Complementary and Alternative Medicine : ECAM·Zhi-Yong HeHu Wei-Yan

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