Journal of Hematology & Oncology (Feb 2019)

Expert consensus on multidisciplinary therapy of colorectal cancer with lung metastases (2019 edition)

  • Jian Li,
  • Ying Yuan,
  • Fan Yang,
  • Yi Wang,
  • Xu Zhu,
  • Zhenghang Wang,
  • Shu Zheng,
  • Desen Wan,
  • Jie He,
  • Jianping Wang,
  • Yi Ba,
  • Chunmei Bai,
  • Li Bai,
  • Wei Bai,
  • Feng Bi,
  • Kaican Cai,
  • Muyan Cai,
  • Sanjun Cai,
  • Gong Chen,
  • Keneng Chen,
  • Lin Chen,
  • Pengju Chen,
  • Pan Chi,
  • Guanghai Dai,
  • Yanhong Deng,
  • Kefeng Ding,
  • Qingxia Fan,
  • Weijia Fang,
  • Xuedong Fang,
  • Fengyi Feng,
  • Chuangang Fu,
  • Qihan Fu,
  • Yanhong Gu,
  • Yulong He,
  • Baoqing Jia,
  • Kewei Jiang,
  • Maode Lai,
  • Ping Lan,
  • Enxiao Li,
  • Dechuan Li,
  • Jin Li,
  • Leping Li,
  • Ming Li,
  • Shaolei Li,
  • Yexiong Li,
  • Yongheng Li,
  • Zhongwu Li,
  • Xiaobo Liang,
  • Zhiyong Liang,
  • Feng Lin,
  • Guole Lin,
  • Hongjun Liu,
  • Jianzhong Liu,
  • Tianshu Liu,
  • Yunpeng Liu,
  • Hongming Pan,
  • Zhizhong Pan,
  • Haiping Pei,
  • Meng Qiu,
  • Xiujuan Qu,
  • Li Ren,
  • Zhanlong Shen,
  • Weiqi Sheng,
  • Chun Song,
  • Lijie Song,
  • Jianguo Sun,
  • Lingyu Sun,
  • Yingshi Sun,
  • Yuan Tang,
  • Min Tao,
  • Chang Wang,
  • Haijiang Wang,
  • Jun Wang,
  • Shubin Wang,
  • Xicheng Wang,
  • Xishan Wang,
  • Ziqiang Wang,
  • Aiwen Wu,
  • Nan Wu,
  • Lijian Xia,
  • Yi Xiao,
  • Baocai Xing,
  • Bin Xiong,
  • Jianmin Xu,
  • Jianming Xu,
  • Nong Xu,
  • Ruihua Xu,
  • Zhongfa Xu,
  • Yue Yang,
  • Hongwei Yao,
  • Yingjiang Ye,
  • Yonghua Yu,
  • Yueming Yu,
  • Jinbo Yue,
  • Jingdong Zhang,
  • Jun Zhang,
  • Suzhan Zhang,
  • Wei Zhang,
  • Yanqiao Zhang,
  • Zhen Zhang,
  • Zhongtao Zhang,
  • Lin Zhao,
  • Ren Zhao,
  • Fuxiang Zhou,
  • Jian Zhou,
  • Jing Jin,
  • Jin Gu,
  • Lin Shen

DOI
https://doi.org/10.1186/s13045-019-0702-0
Journal volume & issue
Vol. 12, no. 1
pp. 1 – 11

Abstract

Read online

Abstract The lungs are the second most common site of metastasis for colorectal cancer (CRC) after the liver. Rectal cancer is associated with a higher incidence of lung metastases compared to colon cancer. In China, the proportion of rectal cancer cases is around 50%, much higher than that in Western countries (nearly 30%). However, there is no available consensus or guideline focusing on CRC with lung metastases. We conducted an extensive discussion and reached a consensus of management for lung metastases in CRC based on current research reports and the experts’ clinical experiences and knowledge. This consensus provided detailed approaches of diagnosis and differential diagnosis and provided general guidelines for multidisciplinary therapy (MDT) of lung metastases. We also focused on recommendations of MDT management of synchronous lung metastases and initial metachronous lung metastases. This consensus might improve clinical practice of CRC with lung metastases in China and will encourage oncologists to conduct more clinical trials to obtain high-level evidences about managing lung metastases.

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