A systematic review on the clinical benefit and role of radiofrequency ablation as treatment of colorectal liver metastases.
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A systematic review on the clinical benefit and role of radiofrequency ablation as treatment of colorectal liver metastases. / Stang, Axel; Fischbach, Roman; Teichmann, Wolfgang; Bokemeyer, Carsten; Braumann, Dietrich.
In: EUR J CANCER, Vol. 45, No. 10, 10, 2009, p. 1748-1756.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - A systematic review on the clinical benefit and role of radiofrequency ablation as treatment of colorectal liver metastases.
AU - Stang, Axel
AU - Fischbach, Roman
AU - Teichmann, Wolfgang
AU - Bokemeyer, Carsten
AU - Braumann, Dietrich
PY - 2009
Y1 - 2009
N2 - AIM: To evaluate the role of radiofrequency ablation (RFA) as treatment of colorectal cancer liver metastases (CLMs). METHOD: A PubMed literature search for original articles published until August 2008 was performed. Studies with 40 patients, 18 month median follow-up and reported 3 year overall survival (OS) rates after RFA of CLM were selected for analysis. RESULTS: Thirteen clinical series and 8 non-randomised comparative studies were analysed. Median progression free survival after RFA ranged between 6 and 13 months. Median and 5-year OS after RFA (RFA plus resection) ranged between 24-59 months and 18-40% (36-46 months and 27-30%). Comparative studies indicated significantly improved OS after RFA versus chemotherapy alone, RFA plus chemotherapy versus RFA alone and up-front RFA versus RFA following second-line chemotherapy. CONCLUSION: Our findings support that RFA prolongs time without toxicity and survival as an adjunct to hepatectomy and/or chemotherapy in well-selected patients, but not as an alternative to resection.
AB - AIM: To evaluate the role of radiofrequency ablation (RFA) as treatment of colorectal cancer liver metastases (CLMs). METHOD: A PubMed literature search for original articles published until August 2008 was performed. Studies with 40 patients, 18 month median follow-up and reported 3 year overall survival (OS) rates after RFA of CLM were selected for analysis. RESULTS: Thirteen clinical series and 8 non-randomised comparative studies were analysed. Median progression free survival after RFA ranged between 6 and 13 months. Median and 5-year OS after RFA (RFA plus resection) ranged between 24-59 months and 18-40% (36-46 months and 27-30%). Comparative studies indicated significantly improved OS after RFA versus chemotherapy alone, RFA plus chemotherapy versus RFA alone and up-front RFA versus RFA following second-line chemotherapy. CONCLUSION: Our findings support that RFA prolongs time without toxicity and survival as an adjunct to hepatectomy and/or chemotherapy in well-selected patients, but not as an alternative to resection.
M3 - SCORING: Zeitschriftenaufsatz
VL - 45
SP - 1748
EP - 1756
JO - EUR J CANCER
JF - EUR J CANCER
SN - 0959-8049
IS - 10
M1 - 10
ER -