[1]翟 越,潘文秋,赵 卫,等.CalliSpheres联合阿帕替尼治疗肝癌的安全性和有效性[J].介入放射学杂志,2020,29(05):462-466.
 ZHAI Yue,PAN Wenqiu,ZHAO Wei,et al.The safety and effectiveness of CalliSpheres combined with apatinib for the treatment of hepatocellular carcinoma[J].journal interventional radiology,2020,29(05):462-466.
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CalliSpheres联合阿帕替尼治疗肝癌的安全性和有效性()

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

卷:
29
期数:
2020年05
页码:
462-466
栏目:
肿瘤介入
出版日期:
2020-05-25

文章信息/Info

Title:
The safety and effectiveness of CalliSpheres combined with apatinib for the treatment of hepatocellular carcinoma
作者:
翟 越 潘文秋 赵 卫 张雪平 陆 孜 胡继红
Author(s):
ZHAI Yue PAN Wenqiu ZHAO Wei ZHANG Xueping LU Zi HU Jihong.
Department of Medical Imaging, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province 650032, China
关键词:
【关键词】 肝癌 载药微球 阿帕替尼
文献标志码:
A
摘要:
【摘要】 目的 探讨Callispheres载药微球联合阿帕替尼治疗肝癌的安全性与有效性。方法 回顾性分析昆明医科大学第一附属医院2017年7月至2018年10月采用载药微球(DEB)- TACE联合阿帕替尼治疗的37例肝癌患者,临床疗效根据改良实体肿瘤评价标准进行评价,并评估DEB- TACE术后并发症与口服阿帕替尼的不良反应。 结果 患者接受治疗后1、3个月的总有效率(ORR)分别为83.7%、80.8%。其中位无进展生存期(mPFS)为6.1个月,中位的总生存期(mOS)为13.8个月。DEB- TACE术后不良反应主要有发热、腹痛、肝功能受损等;阿帕替尼不良反应主要为手足综合征、皮肤色素沉着症、继发性高血压等。所有不良反应均未超过3级且可通过对症支持治疗或减少阿帕替尼的服药剂量进行控制。结论 CalliSpheres载药微球联合阿帕替尼为肝癌患者提供一种效益较高的治疗方案,且不良反应轻,易耐受,值得临床进一步推广应用。

参考文献/References:

[1] Ferlay J, Shin HR, Bray F, et al. Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008[J]. Int J Cancer, 2010, 127: 2893- 2917.
[2] Llovet JM, Lencioni R, Di Bisceglie AM, et al. EASL- EORTC clinical practice guidelines: management of hepatocellular car- cinoma[J]. J Hepatol, 2012, 56: 908- 943.
[3] 寸江平,姜永能,宗 璇,等. CalliSpheres微球联合空白微球TACE治疗中晚期肝癌的近期疗效及安全性研究[J].介入放射学杂志, 2019, 28:237- 241.
[4] Zhang SS, Huang C, Li ZZ, et al. Comparison of pharmacoki- netics and drug release in tissues after transarterial chemoem- bolization with doxorubicin using diverse lipiodol emulsions and callispheres beads in rabbit livers[J]. Drug Deliv, 2017, 24: 1011- 1017.
[5] Scott AJ, Messersmith WA, Jimeno A. Apatinib: a promising oral antiangiogenic agent in the treatment of multiple solid tumors[J]. Drugs Today(Barc), 2015, 51: 223- 229.
[6] Li J, Qin S, Xu J, et al. Apatinib for chemotherapy- refractory advanced metastatic gastric cancer: results from a randomized, placebo- controlled, parallel- arm, phase Ⅱ trial[J]. J Clin Oncol, 2013, 31: 3219- 3225.
[7] Fang SC, Zhang HT, Zhang YM, et al. Apatinib as post second- line therapy in EGFR wild- type and ALK- negative advanced lung adenocarcinoma[J]. Onco Targets Ther, 2017, 10: 447- 452.
[8] Lencioni R,Llovet JM. Modified RECIST(mRECIST) assessment for hepatocellular carcinoma[J]. Semin Liver Dis, 2010,30:52- 60.
[9] Heimbach JK, Kulik LM, Finn RS, et al. AASLD guidelines for the treatment of hepatocellular carcinoma[J]. Hepatology, 2018, 67: 358- 380.
[10] 刘 金, 曹 刚, 张根山, 等. 国产CalliSpheres载药微球治疗原发性肝癌12例[J]. 介入放射学杂志, 2017, 26: 993- 998.
[11] 李亚华,段旭华,韩新巍,等. TACE术中应用三氧化二砷CalliSpheres载药栓塞微球治疗BCLC B期原发性肝癌13例[J]. 介入放射学杂志, 2019, 28: 232- 236.
[12] Cosgrove DP, Reyes DK, Pawlik TM, et al. Open- label single- arm phase Ⅱ trial of sorafenib therapy with drug- eluting bead transarterial chemoembolization in patients with unresectable hepatocellular carcinoma: clinical results[J]. Radiology, 2015, 277: 594- 603.

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备注/Memo

备注/Memo:
(收稿日期:2019- 06- 26)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2020-05-22