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Endovascular brachytherapy combined with portal vein stenting and transarterial chemoembolization improves overall survival of hepatocellular carcinoma patients with main portal vein tumor thrombus
| Content Provider | Semantic Scholar |
|---|---|
| Author | Yu, Tian-Zhu Zhang, Wen Liu, Qing-Xin Li, Wen-Hui Ma, Jing-Qin Zhang, Zihan Yang, Min-Jie Wang, Jian-Hua Chen, Bing Zeng, Shao-Chong Luo, Jian-Jun Liu, Ling-Xiao Yan, Zhi-Ping |
| Copyright Year | 2017 |
| Abstract | Hepatocellular carcinoma (HCC) patients with main portal vein tumor thrombus have a median survival time of only about 4 months. We therefore compared the safety and efficacy of endovascular brachytherapy (EVBT) and sequential three-dimensional conformal radiotherapy (3-DCRT). From a cohort of 176 patients, we treated 123 with EVBT using iodine-125 seed strands (group A) and the remaining 53 with sequential 3-DCRT (group B). Overall survival, progression free survival and stent patency characteristics were compared between the two groups. Our analysis demonstrated a median survival of 11.7 ± 1.2 months in group A versus 9.5 ± 1.8 months in group B (p = 0.002). The median progression free survival was 5.3 ± 0.7 months in groupA versus 4.4 ± 0.4 months in group B (p = 0.010). The median stent patency period was 10.3 ± 1.1 months in group A versus 8.7 ± 0.7 months in group B (p = 0.003). Therefore, as compared to sequential 3-DCRT, EVBT combined with portal vein stenting and TACE improved overall survival of HCC patients with main portal vein tumor thrombus. |
| Starting Page | 12108 |
| Ending Page | 12119 |
| Page Count | 12 |
| File Format | PDF HTM / HTML |
| DOI | 10.18632/oncotarget.14520 |
| PubMed reference number | 28076848 |
| Journal | Medline |
| Volume Number | 8 |
| Alternate Webpage(s) | http://www.oncotarget.com/index.php?journal=oncotarget&op=download&page=article&path%5B%5D=14520&path%5B%5D=46332 |
| Alternate Webpage(s) | https://doi.org/10.18632/oncotarget.14520 |
| Journal | Oncotarget |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |