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额外治疗对接受经动脉放射性栓塞术(TARE)治疗的患者生存的影响。

The Influence of Additional Treatments on the Survival of Patients Undergoing Transarterial Radioembolization (TARE).

机构信息

Nuclear Medicine Unit, Ospedali Riuniti Villa Sofia-Cervello, 90146 Palermo, Italy.

Health Physics Unit, Ospedali Riuniti Villa Sofia-Cervello, 90146 Palermo, Italy.

出版信息

Curr Oncol. 2024 Mar 13;31(3):1504-1514. doi: 10.3390/curroncol31030114.

Abstract

The aim of this study was to present our preliminary experience with transarterial radioembolization (TARE) using Yttrium-90 (Y), compare the cancer-specific survival (CSS) of patients with hepatocellular carcinoma (HCC) and colorectal cancer (CRC) liver metastases undergoing TARE, and investigate the influence of additional treatments on CSS. Our database was interrogated to retrieve patients who had undergone TARE using Yttrium-90 (Y) glass or resin microspheres. Kaplan-Meier curves and the log-rank test were employed to conduct survival analysis for the different groups ( < 0.05). Thirty-nine patients were retrieved (sex: 27 M, 12 F; mean age: 63.59 ± 15.66 years): twenty-three with hepatocellular carcinoma (HCC) and sixteen with CRC liver metastasis. Globally, the patients with HCC demonstrated a significantly longer CSS than those with CRC liver metastasis (22.64 ± 2.7 vs. 7.21 ± 1.65 months; = 0.014). Among the patients with CRC liver metastasis, those receiving TARE and additional concomitant treatments (n = 10) demonstrated a longer CSS than the CRC patients receiving only TARE (9.97 ± 2.21 vs. 2.59 ± 0.24 months; = 0.06). In the HCC group, there was a trend of a longer CSS in patients (n = 8) receiving TARE and additional treatments (27.89 ± 3.1 vs. 17.69 ± 3.14 months; = 0.15). Patients with HCC seem to achieve a longer survival after TARE compared to patients with CRC liver metastases. In patients with CRC liver metastases, the combination of TARE and additional concomitant treatments may improve survival.

摘要

本研究旨在介绍我们使用钇-90(Y)进行经动脉放射性栓塞(TARE)的初步经验,比较接受 TARE 的肝细胞癌(HCC)和结直肠癌(CRC)肝转移患者的癌症特异性生存(CSS),并探讨额外治疗对 CSS 的影响。我们的数据库被检索以获取接受钇-90(Y)玻璃或树脂微球进行 TARE 的患者。Kaplan-Meier 曲线和对数秩检验用于对不同组进行生存分析(<0.05)。共检索到 39 例患者(性别:27 例男性,12 例女性;平均年龄:63.59±15.66 岁):23 例为肝细胞癌(HCC),16 例为结直肠癌肝转移。总体而言,HCC 患者的 CSS 明显长于 CRC 肝转移患者(22.64±2.7 与 7.21±1.65 个月;=0.014)。在 CRC 肝转移患者中,接受 TARE 联合其他伴随治疗的患者(n=10)的 CSS 长于仅接受 TARE 的 CRC 患者(9.97±2.21 与 2.59±0.24 个月;=0.06)。在 HCC 组中,接受 TARE 和额外治疗的患者(n=8)的 CSS 有延长趋势(27.89±3.1 与 17.69±3.14 个月;=0.15)。与 CRC 肝转移患者相比,HCC 患者接受 TARE 后似乎生存时间更长。在 CRC 肝转移患者中,TARE 联合其他伴随治疗可能会改善生存。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01f8/10969045/0d8046cb5e83/curroncol-31-00114-g001.jpg

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