RESUMEN
This paper aims to update the therapeutical strategies in liver metastasis with complete clinical response (CCR) after chemotherapy and to determine if surgery is always necessary after CCR. The aim of chemotherapy is to achieve a good clinical response rather than CCR of liver metastasis. The CCR of liver metastasis after chemotherapy cannot be considered synonymous with a cure. The resection of the hepatic segment where there was hepatic metastases with CCR after chemotherapy theoretically prevents recurrence, improves survival and makes it possible to confirm whether there has been a complete pathological response. However, the medical literature about this topic is scarce and sometimes contradictory.
RESUMEN
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Asunto(s)
Humanos , Masculino , Femenino , Persona de Mediana Edad , Anciano , Laparoscopía/métodos , Neoplasias Hepáticas/cirugía , Metástasis de la Neoplasia , Neoplasias Colorrectales/patología , Neoplasias Hepáticas/secundario , Tempo OperativoRESUMEN
Los tumores quísticos hepáticos son un grupo heterogéneo de enfermedades con distinta etiología e incidencia, y con manifestaciones clínicas similares. Se clasifican en quistes congénitos, traumáticos, parasitarios o neoplásicos. Los tumores quísticos congénitos son los más prevalentes e incluyen al quiste simple y a la enfermedad poliquística hepática. Otras lesiones infrecuentes son el cistoadenoma hepático, el quiste hepático ciliado embrionario, y un grupo miscelánea. Hemos efectuado una revisión de todas lesiones quísticas hepáticas benignas no parasitarias, haciendo hincapié en las estrategias terapéuticas (AU)
Hepatic cystic tumours are a heterogeneous group of diseases with different aetiology and incidence, and with similar clinical signs and symptoms. They are classified as congenital, traumatic, parasitic, or neoplastic cysts. The congenital cystic tumours are the most prevalent, and include the simple cyst and polycystic hepatic disease. Other less common lesions are, hepatic cystadenoma, ciliated embryonic cyst, and a miscellaneous group. We have carried out a review of all benign non-parasitic hepatic cystic tumours, placing special emphasis on therapeutic strategies (AU)