Evidence map›Paper›PMID 41269485›Full record

ArticleInternational journal of clinical oncology2026

Prognostic stratification of recurrent colorectal liver metastasis: impact of recurrence-free interval, tumor numbers, and size on repeat liver resection.

Hajime Kamiya, Shin Kobayashi, Masashi Kudo, Motokazu Sugimoto, Akihito Kawazoe, Hideaki Bando, Yuichiro Tsukada, Masaaki Ito, Takayuki Yoshino, Naoto Gotohda

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Article in International journal of clinical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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10 authors.

Hajime KamiyaDepartment of Hepatobiliary and Pancreatic Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, 277-8577, Japan.
Shin KobayashiDepartment of Hepatobiliary and Pancreatic Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, 277-8577, Japan. shkobaya@east.ncc.go.jp.ORCID http://orcid.org/0000-0001-9321-8452
Masashi KudoDepartment of Hepatobiliary and Pancreatic Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, 277-8577, Japan.
Motokazu SugimotoDepartment of Hepatobiliary and Pancreatic Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, 277-8577, Japan.
Akihito KawazoeDepartment of Gastroenterology and Gastrointestinal Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
Hideaki BandoDepartment of Gastroenterology and Gastrointestinal Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
Yuichiro TsukadaDepartment of Colorectal Surgery, National Cancer Center Hospital East, Kashiwa, Japan.
Masaaki ItoDepartment of Colorectal Surgery, National Cancer Center Hospital East, Kashiwa, Japan.
Takayuki YoshinoDepartment of Gastroenterology and Gastrointestinal Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
Naoto GotohdaDepartment of Hepatobiliary and Pancreatic Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, 277-8577, Japan.

Funding

National Cancer Center Research and Development Fund (2024-A-05)
6 · The paper itself

Abstract

backgroundThis study investigated the prognostic factors of recurrent colorectal liver metastasis (r-CRLM) and the indications for repeat liver resection (RLR).

methodsIn total, 485 patients underwent initial liver resection (ILR) for CRLM. Among them, 98 with resectable r-CRLM were included in this study. Recurrence-free interval (RFI) was defined as the time between ILR and r-CRLM diagnosis. Long-term outcomes were assessed using overall survival (OS) and time to surgical failure (TSF) as endpoints.

resultsEighty-two patients underwent RLR, and 16 received chemotherapy alone. RLR (P = 0.019, hazard ratio [HR] 0.37) was an independent better prognostic factor for OS in 98 patients. In 82 patients who underwent RLR, the presence of ≥ 3 tumors (P = 0.011, HR 2.28), tumor size ≥ 20 mm (P = 0.004, HR 2.41), and RFI < 180 days (P = 0.006, HR 2.28) were independent prognostic factors for TSF. A score of 1 for each factor could stratify the prognosis of patients who underwent RLR (score 0 group: reference, score 1 group: HR-3.20, and score 2-3 group: HR-6.69). Patients who underwent RLR with scores of 2-3 and those who received chemotherapy alone did not significantly differ in prognosis (P = 0.173).

conclusionsRFI < 180 days, presence of ≥ 3 tumors, and tumor size ≥ 20 mm have a prognostic impact on patients with resectable r-CRLM. The RLR indications should be cautiously considered in patients with these risk factors.

Indexed as

Colorectal NeoplasmsLiver NeoplasmsNeoplasm Recurrence, LocalAdultAgedAged, 80 and overFemaleHepatectomyHumansMaleMiddle AgedPrognosisReoperationRetrospective StudiesTumor BurdenChemotherapyColorectal liver metastasisPrognostic classificationRecurrenceRepeat liver resection

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.