[1]顾 杰,许 晨,周卫忠,等.TACE联合低剂量阿帕替尼治疗中晚期肝癌的疗效及生存预后分析[J].介入放射学杂志,2022,31(02):143-147.
 GU Jie,XU Chen,ZHOU Weizhong,et al.Transcatheter arterial chemoembolization combined with low-dose apatinib for advanced hepatocellular carcinoma: analysis of its curative effect and survival prognosis[J].journal interventional radiology,2022,31(02):143-147.
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TACE联合低剂量阿帕替尼治疗中晚期肝癌的疗效及生存预后分析()

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

卷:
31
期数:
2022年02
页码:
143-147
栏目:
肿瘤介入
出版日期:
2022-02-25

文章信息/Info

Title:
Transcatheter arterial chemoembolization combined with low-dose apatinib for advanced hepatocellular carcinoma: analysis of its curative effect and survival prognosis
作者:
顾 杰 许 晨 周卫忠 刘 圣 施海彬
Author(s):
GU Jie XU Chen ZHOU Weizhong LIU Sheng SHI Haibin.
Department of Interventional Radiology, First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province 210029, China
关键词:
【关键词】 肝细胞癌 经导管肝动脉化疗栓塞术 阿帕替尼 生存期 预后因素分析
文献标志码:
A
摘要:
【摘要】 目的 探讨并分析TACE联合低剂量阿帕替尼治疗中晚期肝细胞癌的临床疗效及影响预后的独立因素。方法 回顾性分析2016年6月至2019年6月接受TACE联合低剂量阿帕替尼治疗的61例中晚期肝癌患者的临床资料。采用寿命表法进行生存分析,同时采用Kaplan-Meier法和Cox风险回归模型分析生存率,最后利用Cox比例风险回归模型进行多因素分析,筛选出独立影响生存期的预后因素。结果 61例患者的1、2和3年累积生存率分别为64%、33%和16%,中位生存期(mOS)为17.3个月,中位无疾病进展生存期(mPFS)为10.3个月。Cox风险回归模型多因素分析得出ECOG评分、肝外转移、TACE次数、阿帕替尼相关高血压、阿帕替尼相关手足综合征及阿帕替尼疗程为生存期的独立影响因素。结论 TACE联合低剂量阿帕替尼治疗中晚期肝癌临床疗效令人满意,独立影响生存期的预后因素为ECOG评分、肝外转移、TACE次数、阿帕替尼相关高血压、阿帕替尼相关手足综合征及阿帕替尼疗程。

参考文献/References:

[1] Chen LT, Martinelli E, Cheng AL, et al. Pan- Asian adapted ESMO Clinical Practice Guidelines for the management of patients with intermediate and advanced/relapsed hepatocellular carcinoma: a TOS- ESMO initiative endorsed by CSCO, ISMPO, JSMO, KSMO, MOS and SSO[J]. Ann Oncol, 2020, 31: 334- 351.
[2] Xie DY, Ren ZG, Zhou J, et al. 2019 Chinese clinical guidelines for the management of hepatocellular carcinoma: updates and insights[J]. Hepatobiliary Surg Nutr, 2020, 9: 452- 463.
[3] Zuo MX, Huang JH. The history of interventional therapy for liver cancer in China[J]. J Intervent Med, 2018, 1: 70- 76.
[4] Zhou C,Yao Q,Zhang H, et al. Combining transcatheter arterial embolization with iodized oil containing apatinib inhibits HCC growth and metastasis[J]. Sci Rep, 2020, 10: 2964.
[5] Pan T, Li XS, Xie QK, et al. Safety and efficacy of transarterial chemoembolization plus sorafenib for hepatocellular carcinoma with portal venous tumour thrombus[J]. Clin Radiol, 2014, 69: e553- e561.
[6] Kang S, Bai X, Chen S, et al. The potential combinational immunotherapiesfor treatment of hepatocellular carcinoma[J]. J Intervent Med, 2019, 2: 47- 51.
[7] 秦叔逵,白玉贤,欧阳学农,等. 阿帕替尼一线治疗晚期肝细胞癌的前瞻性、随机、开放、全国多中心Ⅱ期临床试验[J]. 临床肿瘤学杂志, 2017, 22:1057- 1065.
[8] 陆 阳,姜永能,万 程,等. 阿帕替尼联合TACE治疗中晚期肝细胞癌的疗效研究[J]. 介入放射学杂志, 2019, 28:162- 165.
[9] 杨泽冉,苏天昊,尉建安,等. 肝动脉化疗栓塞术联合阿帕替尼治疗中晚期原发性肝癌疗效评价[J]. 中国肿瘤临床, 2017, 44:880- 885.
[10] Yang Z, Guang C, Cui Y, et al. The safety and efficacy of TACE combined with apatinib on patients with advanced hepato-cellular carcinoma: a retrospective study[J]. Cancer Biol Ther, 2019, 20: 321- 327.
[11] Eisenhauer EA, Therasse P, Bogaerts J, et al. New response evaluation criteria in solid tumours: revised RECIST guideline (version 1.1)[J]. Eur J Cancer, 2009, 45:228- 247
[12] Qiu Z, Shen L, Chen S, et al. Efficacy of apatinib in transcatheter arterial chemoembolization(TACE) refractory intermediate and advanced- stage hepatocellular carcinoma: a propensity score matching analysis[J]. Cancer Manag Res, 2019, 11: 9321- 9330.
[13] Chen S, Yu W, Zhang K, et al. Comparison of the efficacy and safety of transarterial chemoembolization with and without apatinib for the treatment of BCLC stage C hepatocellular carcinoma[J]. BMC Cancer, 2018, 18: 1131.
[14] Lu W, Jin XL, Yang C, et al. Comparison of efficacy between TACE combined with apatinib and TACE alone in the treatment of intermediate and advanced hepatocellular carcinoma: a single- center randomized controlled trial[J]. Cancer Biol Ther, 2017, 18: 433- 438.
[15] 王卫东,侯思楠,陈 栋,等. 肝动脉化疗栓塞联合索拉菲尼治疗肝细胞肝癌的疗效及其预后分析[J]. 中华肝脏病杂志, 2018, 26:690- 693.
[16] Liu J, Xie S, Duan X, et al. Assessment of efficacy and safety of the transcatheter arterial chemoembolization with or without apatinib in the treatment of large hepatocellular carcinoma[J]. Cancer Chemother Pharmacol, 2020, 85: 69- 76.
[17] Sohn W, Paik YH, Cho JY, et al. Sorafenib therapy for hepatocellular carcinoma with extrahepatic spread: treatment outcome and prognostic factors[J]. J Hepatol, 2015, 62: 1112- 1121.
[18] Zheng J, Shao G, Luo J. Analysis of survival factors in patients with intermediate- advanced hepatocellular carcinoma treated with transcatheter arterial chemoembolization combined with sorafenib[J]. Clin Transl Oncol, 2014, 16: 1012- 1017.
[19] Yang X, Hou Z, Zhu K, et al. Drug- related hypertension associated with the efficacy of apatinib on hepatocellular carcinoma[J]. Cancer Manag Res, 2020, 12: 3163- 3173.
[20] Liu L, Wang E, Li L, et al. As clinical markers, hand- foot- skin reaction and diarrhea can predict better outcomes for hepatocellular carcinoma patients receiving transarterial chemo- embolization plus sorafenib[J]. Can J Gastroenterol Hepatol, 2019, 2019: 2576349.


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备注/Memo

备注/Memo:
(收稿日期:2021- 01- 17)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2022-02-21