Assuntos
Antineoplásicos/administração & dosagem , Carcinoma Hepatocelular/tratamento farmacológico , Neoplasias Hepáticas/tratamento farmacológico , Anidridos Maleicos/administração & dosagem , Poliestirenos/administração & dosagem , Zinostatina/análogos & derivados , Zinostatina/administração & dosagem , Cateteres de Demora , Ensaios Clínicos Fase II como Assunto , Sistemas de Liberação de Medicamentos , Embolização Terapêutica , Humanos , Infusões Intra-Arteriais , Óleo Iodado , Anidridos Maleicos/efeitos adversos , Poliestirenos/efeitos adversos , Resultado do Tratamento , Zinostatina/efeitos adversosAssuntos
Carcinoma Hepatocelular/irrigação sanguínea , Carcinoma Hepatocelular/terapia , Embolização Terapêutica/métodos , Neoplasias Hepáticas/irrigação sanguínea , Neoplasias Hepáticas/terapia , Artéria Torácica Interna , Antibióticos Antineoplásicos/administração & dosagem , Epirubicina/administração & dosagem , Gelatina/administração & dosagem , Humanos , Óleo Iodado/administração & dosagem , Masculino , Pessoa de Meia-IdadeRESUMO
The therapeutic effectiveness of transcatheter arterial embolization (TAE) with intraarterial infusion of SMANCS/lipiodol mixture was retrospectively compared to TAE with intraarterial infusion of epirubicin/lipiodol mixture in initial treatment of 54 patients with unresected hepatocellular carcinoma. The therapeutic effects were evaluated by the rate of tumor necrosis after the initial procedure and the cumulative survival rate. Eighteen patients were treated with SMANCS, and 36 patients were treated with epirubicin. There was no significant difference in patient background between the two groups; the hepatic functional reserve was not seriously disturbed in most of the patients, and multiple hepatic lesions were seen in half the patients. Complete tumor necrosis assessed by the imaging of dynamic CT one month after TAE was seen in approximately 40% of the cases in each group. Local recurrence was seen in half the patients after assessment of complete tumor necrosis within one year in both groups. There was no significant difference in survival period. There was also no significant difference of the frequency and degree of the side effects. In conclusion, no distinct difference of outcome was found in the two groups in this comparative study. Further studies in many cases over a longer period will be needed to elucidate the effects of SMANCS in TAE.