[1]罗思懿,刘 鹏,朱 旭.神经内分泌肿瘤肝转移经动脉介入治疗现状及进展[J].介入放射学杂志,2025,34(05):456-460.[doi:10.3969/j.issn.1008-794X.2025.05.002]
 LUO Siyi,LIU Peng,ZHU Xu..Current status and progress of transarterial interventional treatment for liver metastases from neuroendocrine tumors[J].J Intervent Med,2025,34(05):456-460.[doi:10.3969/j.issn.1008-794X.2025.05.002]
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神经内分泌肿瘤肝转移经动脉介入治疗现状及进展()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
34
期数:
2025年05
页码:
456-460
栏目:
专论
出版日期:
2025-05-25

文章信息/Info

Title:
Current status and progress of transarterial interventional treatment for liver metastases from neuroendocrine tumors
文章编号:
1008-794X(2025)-005-0456-05
作者:
罗思懿 刘 鹏 朱 旭
100142 北京 北京大学肿瘤医院介入治疗科
Author(s):
LUO SiyiLIU PengZHU Xu.
Department of Interventional Therapy,Peking University Cancer Hospital,Beijing 100142,China
关键词:
神经内分泌肿瘤 肝转移 经动脉介入治疗 联合治疗
分类号:
R739.4
DOI:
10.3969/j.issn.1008-794X.2025.05.002
文献标志码:
A
摘要:
神经内分泌肿瘤肝转移(neuroendocrine liver metastasis,NELM)临床常见,严重影响患者生活质量及预后。对于不可切除NELM,肝动脉内介入治疗是控制肿瘤进展和缓解症状的有效选择,主要包括经导管动脉栓塞术(TAE)、经导管动脉化疗栓塞术(TACE)和选择性内放疗(selective internal radiotherapy,SIRT),三者长期疗效无显著差异。TAE推荐用于低级别NELM患者。传统TACE可考虑用于低分化和高肝脏肿瘤负荷(hepatic tumor burden,HTB)NELM患者,药物洗脱微球TACE不推荐用于治疗NELM,因其具有显著的肝胆毒性。SIRT可用于伴有门静脉血栓或胆肠手术史的NELM患者。在不可切除NELM综合治疗策略下,肝动脉内介入治疗联合全身治疗显示出令人期待的前景。该文通过回顾相关文献,就NELM肝动脉内介入治疗现状及研究进展作一综述。

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(收稿日期:2024-04-16)
(本文编辑:谷 珂)

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备注/Memo

备注/Memo:
基金项目: 北京市医院管理中心“登峰”人才培养计划(DFL20220903),中国健康促进基金会肿瘤介入科研基金(XM-2018-011-0006-01),国家重点研发计划(2023YFC2414001)
通信作者: 朱 旭 E-mail:drzhuxu@163.com
更新日期/Last Update: 2025-05-25