Comparison of Safety and Efficacy of Different Models of Target Vessel Regional Chemotherapy for Gastric Cancer with Liver Metastases.

作者: Hui Chen , Song Gao , Xiao-Zhen Yang , Li-Jun Chen , Peng Liu

DOI: 10.1159/000440945

关键词: EmbolizationRandomized controlled trialTarget vesselRadiologyClinical endpointGastroenterologyCancerInternal medicineMedicineRetrospective cohort studyArteryTranscatheter arterial chemoembolization

摘要: Background/Aims: We previously demonstrated the safety and efficacy of low-dose, short-interval target vessel regional chemotherapy (TVRCLDSI) delivered through hepatic artery with transarterial embolization (TAE) in patients advanced gastric cancer (AGC). The present study aimed to compare TAE + TVRCLDSI that standard TVRC AGC liver metastases who failed respond first- or second-line systemic chemotherapy. Methods: This recruited a total 58 GC after failure Twenty-eight were assigned group 30 group. primary end point was overall survival (OSTVRC), which defined as time from initiation until last follow-up death. Results: OSTVRC, progression (TTP) appearance intra- extrahepatic metastases, TTP treatment periods all significantly longer than (all p Conclusion: had higher safety, reflected by OS rates, progression-free duration milder side effects compared TVRC.

参考文章(22)
Gang Young, Charles Breedis, The blood supply of neoplasms in the liver. American Journal of Pathology. ,vol. 30, pp. 969- 977 ,(1954)
Bernhard Gebauer, Anne Flörcken, Kirstin Breithaupt, Dmitry Bichev, Peter C Thuss-Patience, Guido Schumacher, Bernd Dörken, Yasemin Dogan, Claudia Schaefer, Hanno Riess, Hepatic arterial infusion chemotherapy for liver metastases from gastric cancer: an analysis in Western patients. Tumori. ,vol. 97, pp. 19- 24 ,(2011) , 10.1700/611.7132
Helen Shum, Lakshmi Rajdev, Multimodality management of resectable gastric cancer: A review World Journal of Gastrointestinal Oncology. ,vol. 6, pp. 393- 402 ,(2014) , 10.4251/WJGO.V6.I10.393
Jing Liu, Lin Chen, Current status and progress in gastric cancer with liver metastasis Chinese Medical Journal. ,vol. 124, pp. 445- 456 ,(2011)
Luigi Cavanna, Flavio Cesare Bodini, Elisa Maria Stroppa, Filippo Banchini, Emanuele Michieletti, Patrizio Capelli, Adriano Zangrandi, Elisa Anselmi, Advanced gastric cancer with liver and lymph node metastases successfully resected after induction chemotherapy with docetaxel, cisplatin and 5-fluorouracil. Chemotherapy. ,vol. 60, pp. 224- 227 ,(2015) , 10.1159/000375156
Takashi Kumada, Yasuaki Arai, Kazuki Itoh, Yukio Takayasu, Kenji Nakamura, Yutaka Ariyoshi, Kazuo Tajima, Phase II study of combined administration of 5-fluorouracil, epirubicin and mitomycin-C by hepatic artery infusion in patients with liver metastases of gastric cancer. Oncology. ,vol. 57, pp. 216- 223 ,(1999) , 10.1159/000012034
Yoshihiro Kakeji, Yoshihiko Maehara, Masaaki Tomoda, Akira Kabashima, Mariko Ohmori, Shinya Oda, Shinji Ohno, Keizo Sugimachi, Long term survival of patients with stage IV gastric carcinoma Cancer. ,vol. 82, pp. 2307- 2311 ,(1998) , 10.1002/(SICI)1097-0142(19980615)82:12<2307::AID-CNCR2>3.0.CO;2-P
T. Vogl, S. Zangos, J. Scholtz, F. Schmitt, S. Paetzold, J. Trojan, F. Orsi, G. Lotz, P. Ferrucci, Chemosaturation with Percutaneous Hepatic Perfusions of Melphalan for Hepatic Metastases: Experience from Two European Centers Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren. ,vol. 186, pp. 937- 944 ,(2014) , 10.1055/S-0034-1366081
Haruyuki Takaki, Tess Litchman, Ann Covey, Franois Cornelis, Majid Maybody, George I. Getrajdman, Constantinos T. Sofocleous, Karen T. Brown, Stephen B. Solomon, William Alago, Joseph P. Erinjeri, Hepatic Artery Embolization for Liver Metastasis of Gastrointestinal Stromal Tumor Following Imatinib and Sunitinib Therapy Journal of Gastrointestinal Cancer. ,vol. 45, pp. 494- 499 ,(2014) , 10.1007/S12029-014-9663-2