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. 2012 Jun;14(6):409–413. doi: 10.1111/j.1477-2574.2012.00467.x

Table 2.

Responses to an item on treatment proposals for a 55-year-old patient with eight metastases in the right lobe and a 2.5-cm metastasis in segment III, 3 years after resection of a primary stage III colon cancer and adjuvant chemotherapy (n= 22 respondents)

Answer option n (%)
Referral to medical oncology for neoadjuvant chemotherapy followed by restaging and possible surgery 9 (40.9%)

Upfront surgery

 • Right portal vein embolization followed by right hepatic lobectomy and left lateral segmentectomy 3 (13.6%)

 • Right hepatic lobectomy and radiofrequency ablation of left lateral segment metastasis 2 (9.1%)

 • Staged resection:

  • Left lateral wedge resection of segment III lesion and ligation of the right portal vein followed by right hepatic lobectomy if adequate regeneration 4 (18.2%)

  • Right hepatic lobectomy followed by left lateral segmentectomy if adequate regeneration of left lobe 2 (9.1%)

Referral to medical oncology for palliative chemotherapy 2 (9.1%)