Kết quả bước đầu điều trị ung thư biểu mô tế bào gan bằng phương pháp hóa tắc mạch với hạt vi cầu tải hóa chất

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Tác giả: Minh Thắng Dương, Kim Ngân Hoàng, Văn Trường Lê, Hồng Bàng Mai, Thị Hoài Ngô, Cảnh Bình Nguyễn, Lâm Tùng Nguyễn, Tiến Thịnh Nguyễn, Minh Thông Phạm, Doãn Kỳ Thái, Xuân Hùng Trịnh, Văn Khiên Vũ

Ngôn ngữ: vie

Ký hiệu phân loại: 616.99 Tumors and miscellaneous communicable diseases

Thông tin xuất bản: Tiêu hóa Việt Nam, 2012

Mô tả vật lý: 1907-1914

Bộ sưu tập: Metadata

ID: 633876

Aims: To study the preliminary effects and safety of TACE using doxorubicin -loaded microspheres for treatment of HCC. Subjects and methods: a prospective study involved 30 HCC patients (mean tumor size: 55.8 + or - 24mm) underwent TACE using drug-loaded beads at the 108 hospital, from June 2011 to May 2012. The authors used lor 2 from 3 different sizes of DC-Beads (100-300um, 300-500um and 500-700um) loaded with 75mg doxorubicin per 1 procedure. Tumor responses were assessed at 1 month, 3 month and 6 month after the first procedure according to modified RECIST. Postembolizatioh syndrome and complications were also recorded. Results: A total 35 procedures were successful peiformed. The objective response rate according to modified RECISTwas 86.6 percent at 1 month, 66.7 percent at 3 month and 61.1 percent at 6 month follow-up. Serum AFP levels were decreased significantly after treatment. Postembolization syndrome was observed in 93.3 percent of cases but mild and recovered without any treatment. There were no case of doxorubicin -related systemic toxicities. The complication occurred in 1 cases (tumor abscess). One death occurred within 6 months follow-up due to the progression of disease but there were no case of procedure-related death. Conclusion: DC-Beads TACE is safe and effective treatment for patients with HCC.
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