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

Bregni, Giacomo; Adams, Richard; Bale, Reto; Bali, MA; Bargellini, I; Blomqvist, L; Brown, G; ... Sclafani, F; + view all (2025) EORTC consensus recommendations on the optimal management of colorectal cancer liver metastases. Cancer Treatment Reviews , 136 , Article 102926. 10.1016/j.ctrv.2025.102926.

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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.

Type: Article
Title: EORTC consensus recommendations on the optimal management of colorectal cancer liver metastases
Location: Netherlands
DOI: 10.1016/j.ctrv.2025.102926
Publisher version: https://doi.org/10.1016/j.ctrv.2025.102926
Language: English
Additional information: This version is the author-accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Colorectal cancer, Liver metastases, Expert consensus, European consensus, Delphi survey, EORTC
UCL classification: UCL
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Med Phys and Biomedical Eng
URI: https://discovery.ucl.ac.uk/id/eprint/10208353
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