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Colo-rectal cancer e' liver matastasis - Coggle Diagram
Colo-rectal cancer e' liver matastasis
Investigations
Endoscopy
Indications
Barium enema
CT colonography
Spread detection
(Staging)
Liver
Abd. US
Triphasic CT
(gold standard)
LFTs
Abd. & pelic spread
CT
Chest
CXR or CT
Systemic spread
PET-CT
Ureter
IVU or uretric cathetrization
State of rectal tumour
TRUS or MRI pelvis
Family genetic counselling
Lab.
FIT
sDNA
CBC
Tumour markers
(prognostic not diagnostic)
CA19.9
KRAS
CEA
TTT
Operative approaches
Conventional surgery
Laparoscopic &robotic surgery
Advantages
Disadvantages
Operative procedures
MDT
Preoperative preparation
Mechanical
Chemical
Radical is only curative