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本文介绍1例同时性肝转移结肠癌病例的多学科诊治过程。该病例初诊时肝脏多发转移无法切除,经过多学科讨论后患者接受化疗联合靶向药物治疗,意外实现肝脏转移灶和结肠原发灶的切除。术后9月,患者肝脏转移癌复发,经过多学科讨论治疗后再次获得缓解。该病例的诊治过程说明,多学科诊治对于改善结直肠癌肝转移患者的生存至关重要;初始不可切除的肝转移患者应根据其耐受性和治疗的反应情况动态调整治疗目标。多学科诊治团队需常态化和专业化以实现患者的最大获益。
This article describes a case of simultaneous liver metastases of colon cancer cases of multidisciplinary diagnosis and treatment process. The case of multiple liver metastases at the time of first diagnosis can not be removed, after multidisciplinary discussion of patients receiving chemotherapy combined with targeted drug therapy, accidental liver metastases and primary resection of the colon. After the operation in September, patients with recurrent liver cancer recurrence, after multidisciplinary discussion and treatment again remission. The course of diagnosis and treatment of this case shows that multidisciplinary diagnosis and treatment is very important for improving the survival of patients with liver metastasis of colorectal cancer. Patients with initial unresectable liver metastases should adjust their treatment goals dynamically according to their tolerance and response to treatment. Multidisciplinary teams need to be normalized and specialized to maximize patient benefit.