EORTC consensus recommendations on the optimal management of colorectal cancer liver metastases

Bregni, Giacomo, Adams, Richard ORCID: https://orcid.org/0000-0003-3915-7243, Bale, Reto, Bali, Maria A, Bargellini, Irene, Blomqvist, Lennart, Brown, Gina, Cremolini, Chiara, Demetter, Pieter, Denecke, Timm, Dohan, Anthony, Dopazo, Cristina, Elez, Elena, Evrard, Serge, Feakins, Roger, Guckenberger, Matthias, Guren, Marianne Gronlie, Hawkins, Maria, Hoorens, Anne, Huguet, Emmanuel, Intven, Martijn, Koessler, Thibaud, Kunz, Wolfgang G, Lordick, Florian, Lucidi, Valerio, Mahnken, Andreas H, Malik, Hassan, Martinive, Philippe, Mauer, Murielle, Romero, Alejandra Méndez, Nagtegaal, Iris, Orsi, Franco, Oyen, Wim Jg, Pellerin, Olivier, Rengo, Marco, Ricke, Jens, Ricoeur, Alexis, Riddell, Angela, Ronot, Maxime, Scorsetti, Marta, Seligmann, Jenny, Sempoux, Christine, Sheahan, Kieran, Stättner, Stefan, Svrcek, Magali, Taieb, Julien, West, Nick, Wyrwicz, Lucjan, Zech, Christoph J, Moehler, Markus and Sclafani, Francesco 2025. EORTC consensus recommendations on the optimal management of colorectal cancer liver metastases. Cancer Treatment Reviews 136 , 102926. 10.1016/j.ctrv.2025.102926 Item availability restricted.

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Abstract

Patients with colorectal cancer liver metastases have long represented a unique and thoroughly investigated population. Nevertheless, the optimal management of these is still controversial with a number of open questions which are only partially addressed by available studies and existing guidelines. The European Organisation for Research and Treatment of Cancer (EORTC) Gastrointestinal Tract Cancer Group (GITCG) sought to fill this knowledge gap and promoted the development of a European consensus on this subject. By using the Delphi methodology and leveraging a multidisciplinary team of 43 international experts, including gastrointestinal oncologists, hepatobiliary surgeons, interventional radiologists, radiation oncologists, radiologists, nuclear medicine physicians and pathologists from 12 European countries, 34 practical recommendations and two consensus statements were proposed. These cover varying aspects of the optimal management of colorectal cancer liver metastases such as baseline imaging, selection criteria for liver-directed therapies, treatment strategies, assessment of treatment response, follow-up, care delivery, clinical research and future perspectives. This roadmap document is intended to complement national and international guidelines, and to provide practical guidance for clinicians and multidisciplinary teams, ultimately promoting practice standardisation, optimal management and better patient outcomes across Europe. Also, it provides a unique opportunity to highlight grey areas and unmet needs, and to give a strategic direction to future research in the field by identifying topics where there is no consensus among experts.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Schools > Medicine
Publisher:	Elsevier
ISSN:	0305-7372
Date of First Compliant Deposit:	13 May 2025
Date of Acceptance:	24 March 2025
Last Modified:	13 May 2025 09:45
URI:	https://orca.cardiff.ac.uk/id/eprint/177845

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