The
liver is the most common site of
colorectal cancer metastasis(CRLM). The importance of how to treat CRLM has attracted
attention from doctors world wide and specific academic
organization and expect
consensus has been established. Relative principals of
treatment of CRLM also developed in
China, for example,
guideline of
diagnosis and
treatment of
colorectal cancer liver metastasis(draft) and standard for
diagnosis and
treatment of
colorectal cancer, which were established in 2008 and 2010, respectively. However, we found that the
Chinese doctors still understand these
treatment policies inadequately, and easily produce deviation on the
treatment progress. Based on the problems of current CRLM
treatment, we have some
thoughts or
suggestions as follows (1)Promoting the core
conception of CRLM
treatment actively
surgery is the only
method to achieve possible
cure of the CRLM. (2) Evaluating the status of new
adjuvant chemotherapy for CRLM dialectically. (3)Paying
attention to multi-disciplinary team(MDT) MDT is the scientific
treatment foundation of CRLM. (4)Changing the
treatment conception of primary
tumor of CRLM radical resection of primary
tumor is essential for the resectable CRLM.(5)Emphasizing the surgical
treatment of CRLM combined with
lung metastasis. (6)Do not neglect the
safety of
patients, when we emphasize the
surgery is the optimal
treatment of CRLM. These guides of
treatment of CRLM
will improve the outcomes of CRLM around the world, but we still need pay
attention to above mentioned points in order to insure the
standardization and scientification of CRLM
therapy.