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肝转移瘤肝动脉灌注化疗的进展

Advances in hepatic arterial perfusion chemotherapy for hepatic metastases.

作者信息

Ou Haodi, Li Xiaodong, Chang Shulin, Li Guijie, Chen Feng, Jiang Song

机构信息

Department of Radiology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Shandong Medicine and Health Key Laboratory of Abdominal Medicine Imaging, Jinan, China.

Graduate school, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, China.

出版信息

Front Oncol. 2025 Jun 5;15:1544061. doi: 10.3389/fonc.2025.1544061. eCollection 2025.

DOI:10.3389/fonc.2025.1544061
PMID:40538847
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12176598/
Abstract

Hepatic arterial infusion chemotherapy (HAIC) is one of the local treatment modalities employed for liver metastases. HAIC targets the delivery of chemotherapy drugs to the affected area by inserting a catheter into the tumor's blood-supplying artery. This approach not only enhances drug concentration within the tumor site, but also significantly reduces systemic side effects. Currently, there are various chemotherapeutic regimens available for HAIC in liver metastases; however, determining the optimal therapeutic agent remains elusive. This article provides a comprehensive review of HAIC dosing regimens and multimodal therapy for liver metastases originating from colorectal, breast, and gastric cancers. Meanwhile, this paper briefly outlines ongoing research on HAIC treatment for liver metastases associated with esophageal cancer, gastroenteropancreatic neuroendocrine tumors, and uveal melanoma.

摘要

肝动脉灌注化疗(HAIC)是用于肝转移瘤的局部治疗方式之一。HAIC通过将导管插入肿瘤供血动脉,将化疗药物输送至受累区域。这种方法不仅能提高肿瘤部位的药物浓度,还能显著降低全身副作用。目前,有多种化疗方案可用于肝转移瘤的HAIC治疗;然而,确定最佳治疗药物仍很困难。本文全面综述了HAIC给药方案以及用于治疗源自结直肠癌、乳腺癌和胃癌的肝转移瘤的多模式疗法。同时,本文简要概述了HAIC治疗与食管癌、胃肠胰神经内分泌肿瘤和葡萄膜黑色素瘤相关的肝转移瘤的正在进行的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2479/12176598/d72abef2f191/fonc-15-1544061-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2479/12176598/d72abef2f191/fonc-15-1544061-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2479/12176598/d72abef2f191/fonc-15-1544061-g001.jpg

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本文引用的文献

1
Percutaneous hepatic artery infusion chemotherapy with oxaliplatin and fluoropyrimidines in treatment-resistant colorectal cancer patients with unresectable liver metastases: a retrospective cohort study.奥沙利铂和氟嘧啶经皮肝动脉灌注化疗治疗不可切除肝转移的难治性结直肠癌患者:一项回顾性队列研究
HPB (Oxford). 2025 Mar;27(3):289-298. doi: 10.1016/j.hpb.2024.11.008. Epub 2024 Nov 29.
2
Applications of image-guided locoregional transarterial chemotherapy in patients with inoperable colorectal cancer: a review.影像引导下局部区域经动脉化疗在不可切除结直肠癌患者中的应用:综述
Front Oncol. 2024 Aug 23;14:1464242. doi: 10.3389/fonc.2024.1464242. eCollection 2024.
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Surgical and Interventional Management of Liver Metastasis.
肝转移瘤的外科及介入治疗
Clin Colon Rectal Surg. 2022 Dec 9;37(2):80-84. doi: 10.1055/s-0042-1758822. eCollection 2024 Mar.
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A bibliometric analysis of gastric cancer liver metastases: advances in mechanisms of occurrence and treatment options.胃癌肝转移的文献计量分析:发病机制和治疗选择的进展。
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Oxaliplatin-induced peripheral neurotoxicity in colorectal cancer patients: mechanisms, pharmacokinetics and strategies.奥沙利铂诱导的结直肠癌患者外周神经毒性:机制、药代动力学及应对策略
Front Pharmacol. 2023 Aug 1;14:1231401. doi: 10.3389/fphar.2023.1231401. eCollection 2023.
7
Optimal interventional treatment for liver cancer: HAIC, TACE or iTACE?肝癌的最佳介入治疗:肝动脉灌注化疗、经动脉化疗栓塞还是碘油载药微球经动脉化疗栓塞?
J Interv Med. 2023 May 2;6(2):59-63. doi: 10.1016/j.jimed.2023.03.001. eCollection 2023 May.
8
HAIC as a potential therapy for esophageal cancer patients with liver metastasis: a retrospective cohort study.肝动脉灌注化疗作为食管癌肝转移患者的一种潜在治疗方法:一项回顾性队列研究。
Front Med (Lausanne). 2023 May 5;10:1143617. doi: 10.3389/fmed.2023.1143617. eCollection 2023.
9
Predicting Survival for Hepatic Arterial Infusion Chemotherapy of Unresectable Colorectal Liver Metastases: Radiomics Analysis of Pretreatment Computed Tomography.预测不可切除结直肠癌肝转移患者肝动脉灌注化疗的生存情况:治疗前计算机断层扫描的影像组学分析
J Transl Int Med. 2022 Apr 2;10(1):56-64. doi: 10.2478/jtim-2022-0004. eCollection 2022 Mar.
10
Radiation Dose Aspects of Hepatic Artery Infusion Chemotherapy in Uveal Melanoma Patients with Liver Metastases.肝脏转移的葡萄膜黑色素瘤患者肝动脉化疗栓塞的辐射剂量方面。
Cardiovasc Intervent Radiol. 2022 Jun;45(6):841-845. doi: 10.1007/s00270-022-03130-1. Epub 2022 Apr 18.