Palliative care 2016

Clinical evidence Surgery and abla+on for CRC oligo-­‐metastases

Prog. factors: • Node positive primary • Dis-free interval >12 mts • No. metastases >1 • Size of largest > 1 cm • CEA > 200 ng/ml

Surgical resection CRC liver metastases

Surgical resection CRC, extrahepatic mets.

Fong Ann Surg 1999; 230: 309

Surgical resection Non-CRC metastases

Non-surgical ablation CRC and non-CRC mets.

Non-radical ablation