[1]李 臻,石 洋,孙振昌,等.载药微球化疗栓塞治疗不可切除软组织肉瘤初步疗效分析[J].介入放射学杂志,2021,30(05):455-460.
 LI Zhen,SHI Yang,SUN Zhenchang,et al.Drug-eluting bead transcatheter arterial chemoembolization for the treatment of unresectable soft tissue sarcoma: preliminary analysis of its curative effect[J].journal interventional radiology,2021,30(05):455-460.
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载药微球化疗栓塞治疗不可切除软组织肉瘤初步疗效分析()

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

卷:
30
期数:
2021年05
页码:
455-460
栏目:
肿瘤介入
出版日期:
2021-05-25

文章信息/Info

Title:
Drug-eluting bead transcatheter arterial chemoembolization for the treatment of unresectable soft tissue sarcoma: preliminary analysis of its curative effect
作者:
李 臻 石 洋 孙振昌 王彩鸿 葛乃建 李 鑫 纪 坤 詹鹏超 韩新巍
Author(s):
LI Zhen SHI Yang SUN Zhenchang WANG Caihong GE Naijian LI Xin JI Kun ZHAN Pengchao HAN Xinwei.
Department of Interventional Radiology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province 450052, China
关键词:
【关键词】 软组织肉瘤 介入治疗 载药微球 化疗栓塞
文献标志码:
A
摘要:
【摘要】 目的 探讨载药微球化疗栓塞(DEB-TACE)治疗软组织肉瘤的初步疗效及安全性、可行性。方法 回顾性分析2017年4月至2019年4月接受DEB-TACE治疗的12例软组织肉瘤患者(病灶数24个)的临床资料,术前均经病理学确诊。根据介入术后1、3、6和12个月CT/MRI,评价其疗效。记录无进展生存期(PFS)和总生存期(OS)。观察有无严重不良事件(AE)。结果 12例患者DEB-TACE手术28例次均顺利,有不同程度的术后反应,以疼痛为主(10/12, 83.3%),对症治疗后均好转。中位随访时间14.5个月(4~23个月)。疗效评价:术后1、3、6和12个月总客观有效率(ORR)分别为75.0%(9/12)、75.0%(9/12)、66.7%(8/12)、58.3%(7/12),6、12个月OS率和PFS率分别为91.7%和66.7%、83.3%和58.3%,中位PFS为11.5个月(3~23个月);术后1、3、6和12个月局部肿瘤的ORR分别为79.2%(19/24)、83.3%(20/24)、78.3%(18/23)、72.7%(16/22),局部肿瘤中位PFS为17.5个月(3~23个月)。结论 DEB-TACE治疗软组织肉瘤近期疗效确切,技术安全可行。

参考文献/References:

[1] Bastiaannet E, Groen H, Jager PL, et al. The value of FDG- PED in the detection,grading and response to therapy of soft tissue and bone sarcomas. A systematic review and meta- analysis[J]. Cancer Treat Rev, 2004, 30: 83- 101.
[2] Abatzoglou S, Turcotte RE, Adoubali A, et al. Local recurrence after initial multidis- ciplinary management of soft tissue sarcoma: is there a way out?[J]. Clin Orthop Relat Res, 2010, 468: 3012- 3018.
[3] Pervaiz N, Nigel C, Forough F, et al. A systematic meta- analysis of randomized controlled trials of adjuvant chemotherapy for localized resectable soft- tissue sarcoma[J]. Cancer, 2008, 113: 573- 581.
[4] Zhang S, Huang C, Li Z, et al. Comparison of pharmacokinetics and drug release in tissues after transarterial chemoembolization with doxorubicin using diverse lipiodol emulsions and Calli-Spheres beads in rabbit livers[J]. Drug Deliv, 2017, 24: 1011- 1017.
[5] Ni JY, Sun HL, Chen YT, et al. Drug- eluting bead transarterial chemoembolization in the treatment for unresectable soft tissue sarcoma refractory to systemic chemotherapy:a preliminary evalua- tion of efficacy and safety[J]. Cancer Res Clin Oncol, 2018, 144: 157- 163.
[6] 李 鑫,李 臻,李 刚,等. 载药微球化疗栓塞治疗下肢梭形细胞肉瘤1例[J]. 介入放射学杂志, 2018, 27:111- 113.
[7] Lencioni R, Llovet JM. Modified RECIST(mRECIST) assessment for hepatocellular carcinoma[J]. Semin Liver Dis, 2010, 30: 52- 60.
[8] Garcia del Muro X, de Alava E, Artigas V,et al. Clinical practice guidelines for the diagnosis and treatment of patients with soft tissue sarcoma by the Spanish group for research in sarcomas (GEIS)[J]. Cancer Chemother Pharmacol, 2016, 77:133- 146.
[9] Casali PG,Blay JY. Soft tissue sarcomas: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow- up[J]. Ann. Oncol, 2010, 21(Suppl 5):v198- v203.
[10] Fa CO, Sole CV, Cambeiro M, et al. Prognostic value of external beam radiation therapy in patients treated with surgical resection and intraoperative electron beam radiation therapy for locally recurrent soft tissue sarcoma: a multicentric long- term outcome analysis[J]. Int J Radiat Oncol Biol Phys, 2014, 88: 143- 150.
[11] Sangro B , D’Avola D , Inarrairaegui M, et al. Transarterial therapies for hepatocellular carcinoma[J]. Expert Opin Pharmacother, 2011,12:1057- 1073.
[12] Wang L,Ke Q,Deng MJ, et al. Adjuvant transarterial chemoem- bolization for patients with hepatocellular carcinoma after radical hepatectomy: a real world study[J]. Scand J Gastroenterol, 54:1403- 1411.
[13] Benson AB 3rd, D’Angelica MI, Abrams TA, et al. Hepatobiliary cancers,version 2. 2014[J]. J Natl Compr Canc Netw, 2014, 12: 1152- 1182.
[14] Forner A, Reig ME,de Lope CR, et al. Current strategy for staging and treatment: the BCLC update and future prospects[J]. Semin Liver Dis, 2010, 30: 61- 74.
[15] Song MJ, Chun HJ, Song DS, et al. Comparative study between doxorubicin- eluting beads and conventional transarterial chemo-embolization for treatment of hepatocellular carcinoma[J]. J Hepatol, 2012, 57: 1244- 1250.
[16] Huang KJ, Zhou Q, Wang R, et al. Doxorubicin- eluting beads versus conventional transarterial chemoembolization for the treatment of hepatocellular carcinoma[J]. J Gastroenterol Hepatol, 2014, 29: 920- 925.
[17] Wang YX, De Baere T, Idee JM, et al. Transcatheter emboliza-tion therapy in liver cancer: an update of clinical evidences[J]. Cancer Res, 2015, 27: 96- 121.
[18] 李 臻,李 鑫,白亮亮,等. DEB- TACE治疗消化道肿瘤肝转移的初步观察[J]. 郑州大学学报(医学版), 2019, 54:658- 662.
[19] Bie ZX, Li YM, Li B, et al. The efficacy of drug- eluting beads bronchial arterial chemoembolization loaded with gemcitabine for treatment of non- small cell lung cancer[J]. Thoracic Cancer, 2019, 10: 1770- 1778.
[20] 康建平,肖砚斌,董苏伟,等. 甲磺酸阿帕替尼在晚期难治性骨与软组织肉瘤治疗中的临床应用观察[J]. 中国肿瘤临床, 2019, 46:615- 621.
[21] Jiang CY, Wang JB, Wang YG, et al. Treatment outcome following transarterial chemoembolization in advanced bone and soft tissue sarcomas[J]. Cardiovasc Intervent Radiol, 2016, 39: 1420- 1428.
[22] Sheta E, El- Kalla F, El- Gharib M, et al. Comparison of single- session trans- arterial chemoembolization combined with microwave ablation or radiofrequency ablation in the treatment of hepatocellular carcinoma: a randomized- controlled study[J]. Eur J Gastroenterol Hepatol, 2016, 28: 1198- 1203.
[23] Elserag HB. Hepatocellular carcinoma[J]. N Engl J Med, 2011, 365: 1118- 1127.
[24] Kim JH, Yoon HK, Ko GY, et al. Nonresectable combined hepatocellular carcinoma and cholangiocarcinoma: analysis of the response and prognostic factors after transcatheter arterial chemoembolization[J]. Radiology, 2010, 255: 270- 277.
[25] Brown A, Ray C. Anterior spinal cord infarction following bronchial artery embolization[J]. Semin Intervent Radiol, 2012, 29: 241- 244.
[26] Gill SS, Roddie ME, Shovlin CL, et al. Pulmonary arteriovenous malformations and their mimics[J]. Clin Radiol, 2015, 70: 96- 110.
[27] Sarcoma Committee of Chinese Anti- Cancer Association, Chinese Society of Clinical Oncology. Chinese expert consensus on diagnosis and treatment of soft tissue sarcomas(Version 2015)[J]. Zhonghua Zhong Liu Za Zhi, 2016, 38: 310- 320.
[28] Stojadinovic A, Jaques DP, Leung DH, et al. Amputation for recurrent soft tissue sarcoma of the extremity: indications and outcome[J]. Ann Surg Oncol, 2001, 8: 509- 518.
[29] 张 星. 软组织肉瘤的药物治疗[J]. 中华医学杂志, 2019, 99:2889- 2892.
[30] 李盛龙,杨乾坤,陈 朋,等. 骨与软组织肉瘤伴肺转移患者应用阿帕替尼联合化疗的临床疗效[J]. 中华肿瘤杂志, 2019, 41:309- 314.
[31] D’angelo SP, Mahoney MR, Van Tine BA, et al. Nivolumab with or without ipilimumab treatment for metastatic sarcoma(Alliance A091401):two open- label,non- comparative,randomised,phase 2 trials[J]. Lancet Oncol, 2018, 19: 416- 426.

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备注/Memo

备注/Memo:
(收稿日期:2020- 05- 06)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2021-05-20