論文

国際誌
2021年9月14日

Efficacy of Combined Therapy with Drug-Eluting Beads-Transcatheter Arterial Chemoembolization Followed by Conventional Transcatheter Arterial Chemoembolization for Unresectable Hepatocellular Carcinoma: A Multi-Center Study.

Cancers
  • Asahiro Morishita
  • Joji Tani
  • Takako Nomura
  • Kei Takuma
  • Mai Nakahara
  • Kyoko Oura
  • Tomoko Tadokoro
  • Koji Fujita
  • Tingting Shi
  • Hiroki Yamana
  • Takanori Matsui
  • Tadayuki Takata
  • Takayuki Sanomura
  • Yoshihiro Nishiyama
  • Takashi Himoto
  • Tetsu Tomonari
  • Akio Moriya
  • Tomonori Senoo
  • Koichi Takaguchi
  • Tsutomu Masaki
  • 全て表示

13
18
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.3390/cancers13184605

EB-TACE has recently been performed because of its lower hepatotoxicity compared to cTACE in less advanced HCC. However, local recurrence at the tumor margins is often observed after DEB-TACE. cTACE involves filling the intratumoral sinusoids with lipiodol-containing anticancer drugs and accumulating in the drainage area, which is the first site of HCC recurrence. The aim of this study is to evaluate the therapeutic effect of DEB-TACE followed by cTACE in HCC patients. Between 2014 and 2020, 65 patients with Barcelona clinic liver cancer (BCLC) stage B (intermediate stage) of HCC were enrolled and divided into two groups: one group received DEB-TACE followed by cTACE (cTACE group) and the other group received only DEB-TACE (non-cTACE group). Sixty-five patients were medically followed. The median observation time was 14 ± 13.1 months after the first DEB-TACE and outcomes were analyzed for multiple factors. Results: The complete response rate was significantly higher in the cTACE group than in the non-TACE group. The analysis showed that the only factor that increased the CR rate in the cTACE group was the total tumor number (less than four). The OS rate of CR patients was higher than that of non-CR patients in the cTACE group. Adverse events in the cTACE group included severe thrombocytopenia but only in one of twenty-seven patients. Conclusions: The combined therapy with DEB-TACE followed by cTACE may be a new effective therapeutic strategy for the intermediate stage of HCC patients.

リンク情報
DOI
https://doi.org/10.3390/cancers13184605
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/34572832
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8468113
ID情報
  • DOI : 10.3390/cancers13184605
  • PubMed ID : 34572832
  • PubMed Central 記事ID : PMC8468113

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