Transarterial Ethanol Ablation Combined with Transarterial Chemoembolization for Hepatocellular Carcinoma with Portal Vein Tumor Thrombus
Author(s):
Biao Yang , Xin You , Min Lan Yuan , Tian Qiang Qin , Lin Jia Duan , Jiao He , Ze Jun Fei , Xuan Zhou , Rui Yu Zan , Zheng Yin Liao*
Abstract:
Background
The prognosis for hepatocellular carcinoma (HCC) with portal vein tumor thrombosis (PVTT) is extremely poor..Objectives
This study aimed to evaluate the safety and effectiveness of transarterial ethanol ablation (TEA) for the treatment of HCC with PVTT..Methods
Patients were treated with TEA for PVTT under cone-beam computed tomography and traditional transarterial chemoembolization (TACE) with epirubicin for intrahepatic lesions..Results
Seventeen men were successfully treated with TACE plus TEA. The mean overall survival was 18.3 ± 9.0 months (95% CI: 13.7 - 3.0 months). The quality of life (QoL) score increased from 56.9 ± 15.7 before the procedure to 88.5 ± 11.7 at 4 weeks after the procedure. Lipiodol accumulation grades of 3, 2, 1, and 0 were obtained in 3 (17.6%), 8 (47.1%), 6 (35.3%), and 0 (0%) patients, respectively..Conclusions
TEA is a safe and effective method for treating patients with PVTT, offering advantages for QoL, response rate after TEA, and OS..Keywords:
Language:
English
Published:
Hepatitis Monthly, Volume:16 Issue: 8, Aug 2016
Page:
8
magiran.com/p1576534
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