A 60 year-old man was diagnosed with cancer of his right colon, which had already given several metastases to his liver, mainly to the right side of the liver. In order to be able to undergo just one therapeutic operation, chemotherapy was first administered (“neoadjuvant chemotherapy”), so the metastases in the right side of the liver shrank and only one metastasis remained in the left side of the liver. Subsequently, he had surgery, where we removed the right colon and the right side of the liver (right hepatectomy). His single metastasis in the left side of the liver was treated with Radiofrequency Ablation (RFA) during the same operation. The patient was free of disease for 4.5 years.
Multiple metastases in both sides of the liver are demonstrated.
Liver metastasis are now significantly shrunk after chemotherapy and before hepatectomy.
The right lobe of the liver is removed and the left remaining lobe has now enlarged and is healthy, without metastases.