BACKGROUND: Liver resection is a key therapeutic strategy to improve survival in @entity1 with @entity14 . Underutilization may negatively affect outcomes. Using a Web-based survey and standardized imaging scenarios, this study assessed medical oncologists' (MOs) perceptions of resectability, preferences for chemotherapy sequencing, and referral for surgical consultation in a static @entity1 profile of good performance status and no extrahepatic spread but varying bulk and distribution of disease. METHODS: A total of 190 US-based MOs were surveyed. A single @entity1 profile was created and combined with 10 different sets of liver computed tomographic images displaying a broad spectrum of metastases. Assessments of resectability and ranking were compared with the results obtained from an expert panel of 3 hepatic surgeons. RESULTS: The expert hepatic surgeons designated 8 scans resectable, 1 borderline resectable/convertible, and 1 unresectable. In the 8 resectable cases, 34.4  % of MOS perceived the case to be initially resectable, 41.7  % potentially resectable after chemotherapy response, and 23.9  % unresectable. Increasing number of lesions, larger @entity5 diameter, and bilateral disease were associated with lower resectability perception (P  <  0.01). Among those cases considered resectable by MOs, they preferred initial resection (54.2  %) over neoadjuvant chemotherapy (38.4  %). Initial referral for surgical consultation was generally favored only for cases considered initially resectable by MOs. CONCLUSIONS: This study confirms both potential discrepancies between MOs' and hepatic surgeons' perception of resectability and underutilization of early surgical consultation for @entity1 with potentially resectable @entity14 and underscores the importance of an evaluation that includes an experienced hepatic surgeon.

Surgical Resection Preferences and Perceptions among Medical Oncologists Treating Liver Metastases from XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor'] @entity14 :: ('MESH:D015179', 'Disease') :: ['colorectal cancer liver metastases']
@entity14 :: (MESH:D015179,Disease) :: ['Colorectal Cancer']
