How would you manage a solitary unresectable liver metastasis?

Topics: Radiation Oncology • Palliation • Medical Oncology

From NCCN (Rectal MS-33): SBRT is a reasonable option for patients who cannot be resected or ablated.

What is the role of SBRT versus microwave ablation?

Answer from: Radiation Oncologist at Community Practice

Excellent question! Before starting any systemic treatments, has the patient undergone an MRI? Conducting an MRI prior to systemic therapy is crucial for accurately determining whether there are single or multiple liver metastases. The CAMINO study has shown that incorporating an MRI at the ini...

Comments

Radiation Oncologist at University of Alabama at Birmingham
Agree with the above regarding the management of o...

Radiation Oncologist at West Virginia University Medicine
Amazing detail, I agree with the above! I wish the...

Answer from: Radiation Oncologist at Community Practice

In general, the local treatment options for unresectable solitary liver metastasis are: External beam with photon (SBRT/IMRT/3-D) Trans-Arterial Radio-Embolization (TARE) with Yttrium-90 microspheres Proton beam therapy Interventional ablation The optimal treatment depends on the tumor si...

Comments

Radiation Oncologist at Icahn School of Medicine at Mount Sinai
These are all great points. Personally, I lean tow...

Radiation Oncologist at West Virginia University Medicine
I fully agree with the sentiment toward first-line...

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