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| 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 | Combination of repeated single-session percutaneous ethanol injection and transarterial chemoembolisation compared to repeated single-session percutaneous ethanol injection in patients with non-resectable hepatocellular carcinoma显示文摘瞄准:为病人评估经皮的乙醇注射(PEI ) 的治疗效果与先进, non-resectable HCC 与 transarterial chemoembolisation 的联合相比(不作声) 并且重复单个会议的 PEI,独自重复了单个会议的 PEI,重复不作声独自一个,或最好的支持的照顾。方法:在学习时期期间接受了 PEI 治疗的所有病人根据物理地位和肿瘤程度被包括并且成层到下列治疗形式之一:联合不作声并且重复单个会议的 PEI,独自重复了单个会议的 PEI,重复不作声独自一个,或最好的支持的照顾。包括Okuda分类,门静脉血栓的存在,腹水的存在,肿瘤的数字,最大的肿瘤直径,和假胆硷酯酶( CHE )的临床的参数的预示的价值,以及孩子呸上演, alpha-fetoprotein (法新社),发烧,复杂并发症的发生在这些组之间被估计并且比较。幸存用 Kaplan-Meier 被决定,多,变量回归分析。结果:所有病人的 1 年、 3 年的幸存是 73% 和 47% 。在亚群分析,联合不作声, PEI (1 ) 与更长的幸存被联系(1- , 3- , 5 年的幸存:90% , 52% ,和 43%) 与 PEI 治疗相比独自一个(2 )(1- , 3- , 5 年的幸存:65% , 50% ,和 37%) 。(3 ) 在起始的层化以后的第二等的 PEI 产出可比较的结果不作声(1- , 3- , 5 年的幸存:91% , 40% ,和 30%) 当在到最好的支持的照顾(4 ) 的层化以后的 PEI 与减少的幸存被联系时(1- , 3- , 5 年的幸存:50% , 23% , 12%) 。除了选择治疗形式,为更好的幸存的预言者是肿瘤数字(n <
5 ) ,肿瘤尺寸(<
5 厘米) ,在 PEI 前的没有腹水,和在 PEI 以后的稳定的假胆硷酯酶(P <
0.05 ) 。在在 PEI 以后的 2 wk 以内的死亡是 2.8%(n = 3 ) 。有 24 (8.9%) 主修在包括部分肝梗塞,焦点的肝坏死,和肝脓肿的 PEI 以后的复杂并发症。所有复杂并发症能非通过手术被管理。结论:重复单个会议的 PEI 在有以可接受、可管理的复杂并发症率的先进 HCC 的病人是有效的。病人们成层到联合不作声, PEI 能比那些独自成层到重复 PEI 期望更长的幸存。而且,有在好临床的地位的大或多重的肿瘤的病人可以也从联合获利不作声并且为第二等的 PEI 的再考虑。 | Arne Dettmer Timm D Kirchhoff Michael Gebel Lars Zender Nisar P Malek Bernhard Panning Ajay Chavan Herbert Rosenthal Stefan Kubicka Susanne Krusche Sonja Merkesdal Michael Galanski Michael P Manns Joerg S Bleck | 2006 | World Journal of Gastroenterology2006，12，23： | 14 |
| 3 | Direct ex vivo analysis of dendritic cells in patients with hepatocellular carcinoma显示文摘瞄准:与肝细胞癌(HCC ) 从病人分析树枝状的房间(DC ) 的显型和功能以便在这疾病理解他们的角色。方法:骨髓的的树枝状的房间在 HCC 病人的外部血被枚举。从外部血的天真、刺激的骨髓的的树枝状的房间上的 CD80, CD83, CD86 和 HLA 医生表示被分析。骨髓的的树枝状的房间从外部血被孤立,他们的功能被测试。吞噬作用用 FITC 葡聚糖祷告被分析,肽特殊刺激,在多形核白细胞 dI:dC 之上刺激 allogeneic T 房间和 cytokines 的分泌物的能力被测试。结果:骨髓的的树枝状的房间与 HCC 在病人被减少。在 CD80, CD83, CD86 和 HLA 医生表示的差别都没从 HCC 病人和健康控制在天真、刺激的骨髓的的树枝状的房间上被发现。肽 specific T 房间的正常吞噬作用或刺激与一个损害 allo-stimulatory 能力和减少的 IL-12 分泌物相对照被观察。结论:在病人的 mDCs 的损害 IL-12 生产能导致建议指导治疗可以提高的那 IL-12 的天真的 T 房间的一个损害 stimulatory 能力在 HCC 病人的肿瘤 specific 免疫者回答。 | Lars A Ormandy Anatol Frber Tobias Cantz Susanne Petrykowska Heiner Wedemeyer Monique Hrning Frank Lehner Michael P Manns Firouzeh Korangy Tim F Greten | 2006 | World Journal of Gastroenterology2006，12，20： | 12 |
| 4 | Successful photodynamic therapy for biliary papillomatosis:A case report显示文摘Papillomatosis of the bile duct is a rare disease with a high risk of malignant transformation. Therapeutical options include partial hepatectomy and liver transplantation. A previously healthy 65-years old male developed jaundice and right upper abdominal quadrant pain in 1996. A villous adenoma of the distal bile duct was diagnosed. A Whipple procedure was performed. In 2002 the patient turned symptomatic again. Another adenoma was found in the right hepatic duct resulting in a right hepatectomy. Two years later the patient again developed cholestasis. After drainage of the left hepatic duct with a percutaneous transhepatic cholangial drainage (PTCD) catheter, a recurrent biliary adenomatosis was diagnosed by cholangioscopy. As there was no surgical option left, the patient received photodynamic therapy (PDT) for the recurrent biliary papillomatosis. Three mo after he received further photodynamic therapies, the bile duct epithelium appeared normal and the patient had no signs of adenomatosis, both macroscopically and histologically. The follow-up cholangioscopy in late 2005 revealed only a small papilloma without the need for intervention. In early 2006, the patient died of multi organ failure without signs of extrahepatic cholestasis or cholangitis at the age of 75, 10 years after the diagnosis of biliary papillomatosis was established. The patient exceeded the average life expectancy of patients with biliary papillomatosis by far. Thus, PDT might be a sufficient therapeutic option for recurrent papillomatosis patients with no significant side effects. | Lars P Bechmann Philip Hilgard Andrea Frilling Brigitte Schumacher Hideo A Baba Guido Gerken Thomas Zoepf | 2008 | World Journal of Gastroenterology2008，14，26： | 7 |
| 5 | TAT-apoptin is efficiently delivered and induces apoptosis in cancer cells显示文摘 | Lars G Hugh P Joop G | | 0，，05： | 1 |
| 6 | Leydig cell death in rats exposed to bismuth subnitrate显示文摘 | Lars H P Meredin S Erik E | 2003 | Journal of Applied Toxicology2003，23，4： | 1 |
| 7 | Drag on Hydroid-Fouled Nets – An Experimental Approach显示文摘The present study investigated the drag increase on aquaculture nets due to biofouling of the colonial hydroid Ectopleura larynx. It had two main parts: firstly the growth characteristics of E. larynx were investigated by use of field tests at a Norwegian aquaculture site; secondly the hydrodynamic drag on the fouled twines was studied in a towing tank by using fabricated models of net twines with artificial hydroid fouling. In the field tests, the growth of the hydroids was first measured after three weeks of immersion and then again after six weeks. During this interval, the density of hydroids and the thickness of the hydroid stem were almost constant(1.4 hydroids/mm and 0.29 mm, respectively), while the average length of the hydroids increased from 6.4 to 11.2 mm. The hydroid length followed a Rayleigh distribution, while the thickness was normal(Gaussian) distributed. Replicas of twines with three different levels of hydroid growth were made(1.5 hydroids/mm twine, hydroid length 9 mm, 16 mm and 20 mm), and the drag on these twines was measured at different towing velocities(0.1 to 1.4 m/s) and with different twine configurations. For the twine with the shortest hydroids(9 mm), the drag was from 1.5 times(Re=4000) to 2.2 times(Re=1000) the drag on a clean twine. For the longest hydroids(21 mm), the drag was 2 times and 3.8 times, respectively. | Pl LADER David W. FREDRIKSSON Jana GUENTHER Zsolt VOLENT Nina BLOCHER David KRISTIANSEN Lars GANSEL Jud DECEW | 2015 | China Ocean Engineering2015，29，3： | 1 |
| 8 | Aging and diabetes:implications for brain function显示文摘 | Geert Jan Biessels Lars P Amer Kamal | 2002 | Eur J o fPharmaco2002，441，： | 1 |
| 9 | Study of the isothermal curing of an epoxy prepreg by near-infrared spectroscopy显示文摘 | Qian Wang Birgit K Storm Lars P Houmler | 2003 | Journal of Applied Polymer Science2003，87，： | 1 |
| 10 | Facile labelling of an an- ti-epidermal growth factor receptor nanobody with 68Ga via a novel bifunctional desferal chelate for immuno-PET显示文摘 | Maria J W Lars R P Rob C | 2011 | Eur J Nucl Med Mol Ima2011，，38： | 1 |
| 11 | Stoichiometric modeling of clostridium acetotutylicum fermentations with non-linear constraints显示文摘 | Desai R P Lars K Nielsen Papoutsakis E T | | 0，，01： | 1 |
| 12 | Atherosclerotic Plaque Stability—What Determines the Fate of a Plaque?显示文摘 | Bente Halvorsen Kari Otterdal Tuva B. Dahl Mona Skjelland Lars Gullestad Erik ?ie P?l Aukrust | 2008 | Progress in Cardiovascular Diseases2008，，3： | 1 |
| 13 | Low Field 1H nuclear magnetic resonance and chemo metrics combined for simultaneous determination of water, oil, and protein contents in oilseeds显示文摘 | P Henrik M Lars B E S-ren | 2000 | JAOCS2000，77，10： | 1 |
| 14 | Polymerization of lignosulfonates by the laccase-HBT (1 -hydroxybenzotriazole) system improves dispersibility显示文摘 | Endry N P Tukayi K Lars O | 2010 | Bioresource technology2010，101，： | 1 |
| 15 | Activity and Characterization of Cu/Zn, Cu/Cr and Cu/Zr on Alumina For Methanol Reforming for Fuel Cell Vehicles显示文摘 | Bard Lindstrom Lars J Pettersson Govind Menon P | 2002 | Applied Catalysis A : General2002，234，： | 1 |
| 16 | Improved Survival and Reduction in Local Failure Rates After Preoperative Radiotherapy: Evidence for the Generalizability of the Results of Swedish Rectal Cancer Trial显示文摘 | Michael Dahlberg Bengt Glimelius Lars P?hlman | 1999 | Annals of Surgery1999，，4： | 1 |
| 17 | A comparison of litterfall andelement fluxes in even aged Norway spruce, sitka spruceand beech stands in Denmark显示文摘 | LARS B P J0RGEN B H | 1999 | Forest Ecology andManagement1999，114，1： | 1 |
| 18 | The ins and outs of FOXO shuttling: mechanisms of FOXO transloeation and transcriptional regulation显示文摘 | LARS P MARCO F MARTEN P | 2004 | J Biochem2004，380，： | 1 |
| 19 | Anorectal manovolumetry in the diagnosis of fecal incontinence显示文摘 | Anders Holmberg M.D. Dr. Wilhelm Graf M.D. Ph.D. Asbj?rn ?sterberg M.D. Lars P?hlman M.D. Ph.D | 1995 | Diseases of the Colon & Rectum1995，，5： | 1 |
| 20 | The inflammation induced pathological chaperones ACT and Apo-E are necessary catalysts of Alzheimer,s amyloid formation显示文摘 | Huntington P Inge MW Lars NN | 2001 | NeurobiolAging2001，22，6： | 1 |
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