Aoki T, Arai Y, Kido C, Endo T, Sato Y, Ozawa H
Gan To Kagaku Ryoho. 1987 Sep;14(9):2744-8.
A study of FAM (5-FU, ADM, MMC) hepatic infusion chemotherapy via the left subclavian artery was performed in 40 patients with liver metastasis from colorectal carcinoma. The response rate was 61.1% (1 CR and 21 PR among 36 evaluable cases), and the 50% survival period was 11.6 months. CT imaging in the 22 responders was discussed. The CT scan images showed no remarkable changes except for tumor size in 10 cases (45.5%), a decrease of marginal density in 4 cases (18.2%), an increase of calcification in 2 cases (9.1%), dimpling sign in 3 cases (13.6%) and fatty liver degeneration and abscess formation in the hepatic duct in 1 case (4.5%). These findings on CT scan were important for evaluating the effects and side effects in patients receiving hepatic infusion chemotherapy, and provided useful information for follow-up.
对40例结直肠癌肝转移患者进行了经左锁骨下动脉的FAM(5-氟尿嘧啶、阿霉素、丝裂霉素)肝灌注化疗研究。有效率为61.1%(36例可评估病例中1例完全缓解,21例部分缓解),50%生存期为11.6个月。对22例有反应者的CT影像进行了讨论。CT扫描图像显示,10例(45.5%)除肿瘤大小外无明显变化,4例(18.2%)边缘密度降低,2例(9.1%)钙化增加,3例(13.6%)出现酒窝征,1例(4.5%)出现脂肪肝变性和肝内胆管脓肿形成。CT扫描的这些发现对于评估接受肝灌注化疗患者的疗效和副作用很重要,并为随访提供了有用信息。