Journal
JAPANESE JOURNAL OF CLINICAL ONCOLOGY
Volume 40, Issue 2, Pages 107-111Publisher
OXFORD UNIV PRESS
DOI: 10.1093/jjco/hyp167
Keywords
oligometastases; oligo-recurrence; local therapy; systemic therapy; paradigm shift
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Funding
- Ministry of Education, Culture, Sports, Science and Technology of Japan
- Ministry of Health, Labour and Welfare of Japan
- Foundation for Promotion of Cancer Research of Japan
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Recurrence or metastasis of cancer has been considered to occur in the last stage of the patient's life. However, the new notions of oligometastases and oligo-recurrence have been proposed and the paradigm shift in the conceptualization of cancer metastasis or cancer recurrence. Oligometastases is the state in which the patient shows distant relapse in only a limited number of regions. Local therapy such as surgery, radiotherapy and radiofrequency ablation for the relapsed sites could thus improve patient's survival. On the other hand, oligo-recurrence is a notion similar to oligometastases. However, the conditions of oligo-recurrence has a primary site of the cancer controlled, meaning that all gross recurrent or metastatic sites could be treated using local therapy.
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