Colorectal cancer liver metastasis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Diagnosis of colorectal liver metastasis is histologically or radiologically established. Patients are not surgical candidates or they decline surgical intervention. 2) Primary lesion is controlled. 3) Liver tumors are 3 or fewer with a maximum diameter of 3cm or smaller or, a single with a maximum diamter of 5cm or smaller. 4) No extraheopatic metastasis or controllable even it exists. 5) Liver tumors are not adjacent to the common bile duct or main portal vein. 6) No bile duct abnormality. 7) Age of 20 years or older. 8) ECOG PS of 0 or 1. 9) At least 4 weeks interval from previous treatments. 10) Function of main organs are well preserved. 11) Infromed consent is given from the patient.
Exclusion criteria
Exclusion criteria: 1) Uncontrollable extrahepatic metastasis. 2) Venous invasion. 3) Artrial-portal or -venous shunting. 4) Hepatic arterial obstruction that may prevent embolization. 5) History of billiary surgery. 6) Tumors are close to the bowel and it is difficult to separate them. 7) Herat failure, Renal failure, and active infection, GI bleeding, double cancers, mental disease. 8) Fever (>38 degree celcius). 9) Allergy to contrast medium or mitomycinC. 10) Pregnant woman or woman who is willing to be pregnant. 11) Other reasons that a primary doctor judges judges as inappropriate for a candidate of thi study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Local tumo control | — |
Secondary
| Measure | Time frame |
|---|---|
| Adverse effect, local recurrence per lesion, change in tumor marker, Overall survival, 2-year survival rate, local tumor recurrence-free survival, recurrence-free survival, radiological findings. | — |
Countries
Japan
Contacts
Mie University Hospital Department of Interventional Radiology