TY  - JOUR
AU  - Quintyne, K.I. 
AU  - O’Leary, N. 
AU  - O’Kelly, O. 
AU  - Waldron, D. 
AU  - Keane, R. 
AU  - Geoghegan, J. 
AU  - Kenny, B. 
AU  - Gupta, R.K. 
PY  - 2012
TI  - Patterns of Resection among Patients with Hepatic-Only Metastatic Colorectal Cancer a Single Institution Experience and Review
JF  - American Journal of Immunology
VL  - 8
IS  - 1
DO  - 10.3844/ajisp.2012.18.26
UR  - https://thescipub.com/abstract/ajisp.2012.18.26
AB  - Problem statement: Hepatic-only metastasis in colorectal cancer is not a rare clinical finding and can account for 30% of cases. However, only 10-25% of cases are suitable for hepatic resection as part of their treatment pathway. We sought to document our own findings by reviewing patients with hepatic-only disease. Approach: A retrospective analysis was designed to include all patients seen at our institution from 1st January 2000 until 30th June 2010 and information as derived from the patients’ records. Results: Forty-four (44) patients were found, with an average age of 60.8 years and a male preponderance. The majority of patients (approximately 57%) with hepatic-only metastases developed their disease following adjuvant therapy. Better overall survival was seen when a primary tumor had a low grade of histological differentiation and fewer than 3 hepatic lesions appreciated on conventional radiology. Better outcome was seen in patients who underwent hepatic resection. Conclusion: Patients with hepatic-only metastases are not uncommon within our institution. Hepatic resection afforded better outcome and compares favorably with published literature.