The role of
metastasectomy or resection for recurrent gastric cancer has not been well known.
Khan et al30 in a study evaluated the survival benefits of management of advanced CCa especially the role of
metastasectomy. They demonstrated that
metastasectomy has favourable results on overall survival up to the age of 85 years (hazard ratio, 0.68-0.72, p <0.0001).
In such cases, the most effective treatment is the application of treatment modalities, which include effective
metastasectomy, in the shortest time.
However, MBC patients with single liver metastases can become candidates for
metastasectomy [8].
According to Hodi et al .,[5] total
metastasectomy is a vital procedure for some appropriately selected PHM patients.
In the case of abdominal metastases, paraaortic lymphadenectomy, omentectomy, and
metastasectomy are indicated.
Furthermore, an early diagnosis of metastatic disease relapse may enhance efficacy of systemic therapy or allow for
metastasectomy if the tumour burden is low.
The patient had undergone another surgery for liver
metastasectomy and continued her treatment.
(10) In early-stage cases that fall into the low-risk group, survival time has been shown to increase with
metastasectomy. Therefore, metastatic screening should be the first procedure to be performed after diagnosis.
[17.] Iizasa T, Suzuki M, Yoshida S, et al Prediction of prognosis and surgical indications for pulmonary
metastasectomy from colorectal cancer.
All the patients developed solitary metastases in the liver and underwent
metastasectomy.
The idea that certain patients with limited metastatic disease may derive lasting benefit from more aggressive treatment of their metastatic disease has resulted in multiple retrospective and single-arm studies evaluating outcomes with local therapy and/or
metastasectomy. Several studies in various cancer types have shown that standard systemic therapy combined with the elimination of all clinically detected metastases via surgery or ablative radiotherapy results in superior disease control than systemic therapy alone [1214].
