|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Transarterial chemoembolization using degradable starch microspheres and iodized oil in the treatment of advanced hepatocellular carcinoma: evaluation of tumor response, toxicity, and survival显示文摘BACKGROUND: In a multidisciplinary conference patients with advanced non-resectable hepatocellular carcinoma (HCC) were stratified according to their clinical status and tumor extent to different regional modalities or to best supportive care. The present study evaluated all patients who were stratified to repeated transarterial chemoembolization (TACE) from 1999 until 2003 in terms of tumor response, toxicity, and survival. A moderate embolizing approach was chosen using a combination of degradable starch microspheres (DSM) and iodized oil (Lipiodol) in order to combine anti-tumoral efficiency and low toxicity. METHODS: Fourty-seven patients were followed up prospectively. TACE treatment consisted of cisplatin (50 mg/m2), doxorubicin (50 mg/m2), 450-900 mg DSM, and 5-30 ml Lipiodol. DSM and Lipiodol were administered according to tumor vascularization. Patient characteristics,toxicity, and complications were outlined. In multivariate regression analyses of pre-treatment variables from a prospective database, predictors for tumor response and survival after TACE were determined. RESULTS: 112 TACE courses were performed (2.4±1.5 courses per patient). Mean maximum tumor size was 75 (± 43) mm, in 68% there was bilobar disease. Best response to TACE treatment was: progressive disease (PD) 9%, stable disease (SD) 55%, partial remission (PR) 36%, and complete remission (CR) 0%. Multivariate regression analyses identified tumor size ≤75 mm, tumor number ≤5, and tumor hypervascularization as predictors for PR. The overall 1-, 2-, and 3-year-survival rates were 75%, 59%, and 41%, respectively, and the median survival was 26 months. Low α-fetoprotein levels (<400 ng/ml) (Odds ratio=3.3) and PR as best response to TACE (Odds ratio=6.7) were significantly associated with long term survival (>30 months, R2=36%). Grade 3 toxicity occurred in 7.1% (n=8), and grade 4 toxicity in 3.6% (n=4) of all courses in terms of reversible leukopenia and thrombocytopenia. The incidence of major complications was 5.4% (n=6). All complications were managed conservatively. The mortality within 6 weeks after TACE was 2.1% (one patient). CONCLUSIONS: DSM and Lipiodol were combined successfully in the palliative TACE treatment of advanced HCC resulting in high rates of tumor response and survival at limited toxicity. Favourable tumor response was associated with tumor extent and vascularization. TACE using DSM and Lipiodol can be considered a suitable palliative measure in patients who might not tolerate long acting embolizing agents. | Timm D Kirchhoff Joerg S Bleck Arne Dettmer Ajay Chavan Herbert Rosenthal Sonja Merkesdal Bernd Frericks Lars Zender Nisar P Malek Tim F Greten Stefan Kubicka Michael P Manns Michael Galanski | 2007 | Hepatobiliary & Pancreatic Diseases International2007，6，3： | 15 |
| 2 | Functional propertics of protein isolates from beach pea显示文摘 | U D Chavan D B MeKenzie F Shahidi | 2001 | Food Chemistry2001，74，： | 1 |
| 3 | Endolumin alteratment of aortic dissection显示文摘 | Chavan A Lotz J Oelert F | 2003 | Eur Radiol2003，13，11： | 1 |
| 4 | Endoluminal treatment of aortic dissection显示文摘 | Lotz J Oelert F | 2003 | Eur Radiol2003，13，11： | 1 |
| 5 | Endo- luminal treatment of aortic dissection显示文摘 | Chavan A Lotz J Oelert F | 2003 | Eur Radiol2003，13，11： | 1 |
| 6 | Functional Properties of Protein Isolates From Beach Pea显示文摘 | Chavan V D Mckenzie D B Shahidi F | 2001 | Food Chem2001，74，： | 1 |
| 7 | Endoluminal treatment of aortic dissection显示文摘 | Chavan A Lotz J Delert F | 2003 | EUR Radiol2003，13，11： | 1 |
| 8 | Endoluminal treatment of aortic dissection 显示文摘 | Chavan A Lotz J Oelert F | 2003 | Eur Radiol2003，13，11： | 1 |
| 9 | Internationalvariations in bladder cancer incidence and mortality 显示文摘 | Chavan S Bray F Lortet-Tieulent J | 2014 | EurUrol2014，66，1： | 1 |
| 10 | Functional properties of protein isolates from beach pea 显示文摘 | Chavan V D Mckenzie D B Shahidi F | 2001 | Food Chem2001，，74： | 1 |
| 11 | Endoluminal treatment of aortic dissectionl显示文摘 | Chavan A Lotz Z Oelert F | 2003 | Eur Radio12003，13，11： | 1 |
| 12 | Corneal endothelial cell loss after cataract extraction by using ultrasound phacoemulsification versus a fluid-based system显示文摘 | Richard J Hoffart L Chavane F | | 0，，1： | 1 |
| 13 | Corneal endo- thelial cell loss after cataract extraction by using ultra- sound phacoemulsification versus a fluidbased system 显示文摘 | Richard J Hoffart L Chavane F | 2008 | Cornea2008，27，1： | 1 |
| 14 | Corneal endothelial cell loss af-ter cataract extraction by using ultrasound phacoemulsification versusa fluid-based system显示文摘 | Richard J Hoffart L Chavane F | 2008 | Comeal2008，27，1： | 1 |
| 15 | Endoluminal treatment of aortic dissection 显示文摘 | Chavan A Lotz J Oelert F | 2003 | Eur Radiol2003，13，11： | 1 |
| 16 | Corneal endothelial cell loss after cataract extraction by using ultrasound phacoemulsifica- tion versus a fluid-based system显示文摘 | Richard J Hoffart L Chavane F | 2008 | Cornea2008，27，1： | 1 |
| 17 | Functi- onal properties of protein isolates from beach pea 显示文摘 | Chavan U D McKenzie D B Shahidi F | 2001 | Food Chemistry2001，74，： | 1 |
| 18 | Characterization of beach pea(Lathyrus maritimus)starch显示文摘 | Chavan U D Shahidi F Hoover R | 1999 | Food Chemistry1999，65，1： | 1 |
| 19 | Endoluminal treatment of aortic dissection显示文摘 | Chavan A Lotz J Oelert F | | 0，，11： | 1 |
| 20 | International variations in bladder cancer incidence and mortality显示文摘 | CHAVAN S BRAY F LORTET-TIEULENT J | 2014 | Eur Urol2014，66，1： | 1 |
您所在的机构暂未开通此部分的功能，请联系管理员