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不可切除结直肠癌肝转移的动脉内灌注化疗的最新进展及意义。

Recent advances and significance of intra-arterial infusion chemotherapy in non-resectable colorectal liver metastasis.

机构信息

Division of Surgical Oncology and Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

出版信息

J Gastrointest Oncol. 2013 Jun;4(2):164-72. doi: 10.3978/j.issn.2078-6891.2013.005.

DOI:10.3978/j.issn.2078-6891.2013.005
PMID:23730512
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3635182/
Abstract

In era of systemic chemotherapy for colorectal liver metastasis (CLM), role of hepatic intraarterial infusion chemotherapy (HAIC) remains important. We examined treatment effects of HAIC in 36 patients with non-resectable CLM using 5-FU or CPT-11. Tumor response was complete response (CR) in 4, partial response (PR) in 19, stable disease (SD) in 6, and progressive disease (PD) in 7. Tumor control rate was 81% and response rate was 64%. Six patients showed catheter-related complications. Median survival period was 62 months in CR, and 25 with PR. HAIC has a major impact in high chemotherapy response and prolonging survival.

摘要

在结直肠癌肝转移(CLM)的系统化疗时代,肝动脉内灌注化疗(HAIC)的作用仍然很重要。我们用 5-FU 或 CPT-11 检查了 36 例不可切除的 CLM 患者的 HAIC 治疗效果。肿瘤反应完全缓解(CR)4 例,部分缓解(PR)19 例,疾病稳定(SD)6 例,疾病进展(PD)7 例。肿瘤控制率为 81%,反应率为 64%。6 例患者出现导管相关并发症。CR 中位生存期为 62 个月,PR 为 25 个月。HAIC 对高化疗反应和延长生存期有重大影响。

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本文引用的文献

1
What is the potential role of hepatic arterial infusion chemo-therapy in the current armamentorium against colorectal cancer.肝动脉灌注化疗在当前结直肠癌治疗武器库中的潜在作用是什么。
J Gastrointest Oncol. 2012 Jun;3(2):130-8. doi: 10.3978/j.issn.2078-6891.2011.025.
2
Repeat hepatectomy for liver metastases from colorectal primary cancer: a review of the literature.再次肝切除术治疗结直肠原发肿瘤肝转移:文献复习。
J Visc Surg. 2012 Apr;149(2):e97-e103. doi: 10.1016/j.jviscsurg.2012.01.001. Epub 2012 Feb 7.
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Systematic review of prognostic factors related to overall survival in patients with stage IV colorectal cancer and unresectable metastases.系统评价与不可切除转移的 IV 期结直肠癌患者总生存相关的预后因素。
World J Surg. 2011 Mar;35(3):684-92. doi: 10.1007/s00268-010-0891-8.
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Reducing the incidence of post-hepatectomy hepatic complications by preoperatively applying parameters predictive of liver function.通过术前应用预测肝功能的参数来降低肝切除术后肝脏并发症的发生率。
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Tumour response and secondary resectability of colorectal liver metastases following neoadjuvant chemotherapy with cetuximab: the CELIM randomised phase 2 trial.西妥昔单抗新辅助化疗后结直肠癌肝转移的肿瘤反应和二次可切除性:CELIM 随机 2 期试验。
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Hepatic arterial infusion chemotherapy using fluorouracil followed by systemic therapy using oxaliplatin plus fluorouracil and leucovorin for patients with unresectable liver metastases from colorectal cancer.对于无法切除的结直肠癌肝转移患者,先采用氟尿嘧啶进行肝动脉灌注化疗,随后采用奥沙利铂加氟尿嘧啶和亚叶酸钙进行全身治疗。
Cardiovasc Intervent Radiol. 2009 Jul;32(4):679-86. doi: 10.1007/s00270-009-9547-1. Epub 2009 Mar 19.
7
A randomised phase III study on capecitabine, oxaliplatin and bevacizumab with or without cetuximab in first-line advanced colorectal cancer, the CAIRO2 study of the Dutch Colorectal Cancer Group (DCCG). An interim analysis of toxicity.一项关于卡培他滨、奥沙利铂和贝伐单抗联合或不联合西妥昔单抗用于一线晚期结直肠癌的随机III期研究,即荷兰结直肠癌组(DCCG)的CAIRO2研究。毒性的中期分析。
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8
A second liver resection due to recurrent colorectal liver metastases.因复发性结直肠癌肝转移进行的二次肝切除术。
Arch Surg. 2007 Dec;142(12):1144-9; discussion 1150. doi: 10.1001/archsurg.142.12.1144.
9
Meta-analysis of hepatic arterial infusion for unresectable liver metastases from colorectal cancer: the end of an era?结直肠癌不可切除肝转移灶肝动脉灌注的Meta分析:一个时代的终结?
J Clin Oncol. 2007 Dec 10;25(35):5649-54. doi: 10.1200/JCO.2007.12.1764.
10
Hepatic arterial infusion of oxaliplatin and intravenous LV5FU2 in unresectable liver metastases from colorectal cancer after systemic chemotherapy failure.在全身化疗失败后,对不可切除的结直肠癌肝转移患者进行肝动脉灌注奥沙利铂和静脉注射LV5FU2。
Ann Surg Oncol. 2008 Jan;15(1):219-26. doi: 10.1245/s10434-007-9581-7. Epub 2007 Sep 26.