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Journal of Zhejiang University. Medical sciences ; (6): 44-51, 2017.
Artigo em Chinês | WPRIM | ID: wpr-300825

RESUMO

To evaluate the efficacy and safety of drug-eluding beads transarterial chemoembolization (DEB-TACE) in treatment of unrecectable hepatocellular carcinoma (HCC).The clinical data of 42 consecutive HCC patients undergoing TACE were retrospectively analyzed, including 20 cases received conventional TACE (cTACE group) and 22 cases received TACE with epirubicine-loaded microspheres (CalliSpheres) (DEB-TACE group). MRI scans were performed 1 week before and 1, 3 and 6 months after initial therapy. The response to treatment, disease recurrence, complications and adverse effects were documented and compared between two groups.There were no significant differences in 1-month, 3-month and 6-month objective response rate (CR+PR) and disease control rate (CR+PR+SD), disease recurrence, complications and adverse effects of interventional therapy between cTACE group and DEB-TACE group. Additionally, there were no significant differences about locoregional biliary injuries, intrahepatic biloma, and newly detected intra- or extrahepatic HCC on MRI between cTACE group and DEB-TACE group.There were no statistically significant differences between cTACE group and DEB-TACE group with regard to the short-term response, disease recurrence, complications and side effects. Hepatic-locoregional complications may be more frequent in DEB-TACE group than those in cTACE group.


Assuntos
Humanos , Carcinoma Hepatocelular , Diagnóstico por Imagem , Terapêutica , Quimioembolização Terapêutica , Métodos , Pesquisa Comparativa da Efetividade , Sistemas de Liberação de Medicamentos , Métodos , Epirubicina , Usos Terapêuticos , Neoplasias Hepáticas , Imageamento por Ressonância Magnética , Microesferas , Recidiva Local de Neoplasia , Estudos Retrospectivos , Resultado do Tratamento
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