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Surgical strategy for colorectal cancer with synchronous liver and extrahepatic metastases - A scoring system and decision tree model.

Chan-Wei Tseng,Hao-Wei Teng,Chun-Chi Lin,Hao-Jan Lei,Jung-Jyh Hung,Wen-Yih Liang,Cheng-Yuan Hsia,Shu-Cheng Chou,Hung-Hsin Lin,Sheng-Chieh Huang,Hou-Hsuan Cheng,Yuan-Tzu Lan,Huann-Sheng Wang,Shung-Haur Yang,Wei-Shone Chen,Jen-Kou Lin,Jeng-Kai Jiang,Shih-Ching Chang,Gar-Yang Chau

Journal of the Chinese Medical Association : JCMA（2023）

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Abstract
Liver surgery should not be a contraindication to patients with SCRLM+SEHD. Patients with complete SCRLM+SEHD R0 resection, SCRLM number ≤ five, SEHD confined to the lung only, and wild-type BRAF could have favorable survival outcomes. The proposed scoring system and decision tree model may be beneficial to patient selection in clinical use.
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Key words
colorectal cancer,extrahepatic metastases,synchronous liver,surgical strategy,scoring system
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