Irinotecan drug eluting beads used as a treatment of advanced intra hepatic cholangiocarcinoma

<p>This report describes a 74-year-old male with unresectable intrahepatic cholangiocarcinoma (ICC). However surgical procedure is the only curative treatment, it often seems to be ineffective because of the aggressive behaviour of the disease. The role of systemic chemotherapy in the...

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Main Authors: Jean Amede Roch, John Palma-Gutierrez, Marie Georges Lapalus, Carole Paillet, Frank Pilleul
Format: Article
Language:English
Published: EduRad Publishing 2008-10-01
Series:Journal of Radiology Case Reports
Subjects:
Online Access:http://www.radiologycases.com/index.php/radiologycases/article/view/48
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author Jean Amede Roch
John Palma-Gutierrez
Marie Georges Lapalus
Carole Paillet
Frank Pilleul
author_facet Jean Amede Roch
John Palma-Gutierrez
Marie Georges Lapalus
Carole Paillet
Frank Pilleul
author_sort Jean Amede Roch
collection DOAJ
description <p>This report describes a 74-year-old male with unresectable intrahepatic cholangiocarcinoma (ICC). However surgical procedure is the only curative treatment, it often seems to be ineffective because of the aggressive behaviour of the disease. The role of systemic chemotherapy in the ICC is undefined with a median survival between 6.43 to 12.17 months obtained by using the combination chemotherapy of gemcitabine with cisplatin. In the present case, we performed a targeted treatment using drug eluting beads (DEB) with irinotecan (IRI) administered as transarterial-chemoembolization (TACE). After one session, the tumour vascularity decreased significantly at the one month evaluation on computed tomography (CT) scan of the liver.  This case report suggested that minimally invasive transcatheter DEB embolization could be a promising, safe and effective treatment for selective patients with unresectable ICC.</p>
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spelling doaj.art-06b4aca0907d479f86bc86f6ffa9dabc2022-12-21T18:29:00ZengEduRad PublishingJournal of Radiology Case Reports1943-09222008-10-0124242710.3941/jrcr.v2i4.48Irinotecan drug eluting beads used as a treatment of advanced intra hepatic cholangiocarcinomaJean Amede RochJohn Palma-GutierrezMarie Georges LapalusCarole PailletFrank Pilleul<p>This report describes a 74-year-old male with unresectable intrahepatic cholangiocarcinoma (ICC). However surgical procedure is the only curative treatment, it often seems to be ineffective because of the aggressive behaviour of the disease. The role of systemic chemotherapy in the ICC is undefined with a median survival between 6.43 to 12.17 months obtained by using the combination chemotherapy of gemcitabine with cisplatin. In the present case, we performed a targeted treatment using drug eluting beads (DEB) with irinotecan (IRI) administered as transarterial-chemoembolization (TACE). After one session, the tumour vascularity decreased significantly at the one month evaluation on computed tomography (CT) scan of the liver.  This case report suggested that minimally invasive transcatheter DEB embolization could be a promising, safe and effective treatment for selective patients with unresectable ICC.</p>http://www.radiologycases.com/index.php/radiologycases/article/view/48Intrahepatic CholangiocarcinomaIrinotecanDrug Eluting BeadsTransarterial-chemoembolization
spellingShingle Jean Amede Roch
John Palma-Gutierrez
Marie Georges Lapalus
Carole Paillet
Frank Pilleul
Irinotecan drug eluting beads used as a treatment of advanced intra hepatic cholangiocarcinoma
Journal of Radiology Case Reports
Intrahepatic Cholangiocarcinoma
Irinotecan
Drug Eluting Beads
Transarterial-chemoembolization
title Irinotecan drug eluting beads used as a treatment of advanced intra hepatic cholangiocarcinoma
title_full Irinotecan drug eluting beads used as a treatment of advanced intra hepatic cholangiocarcinoma
title_fullStr Irinotecan drug eluting beads used as a treatment of advanced intra hepatic cholangiocarcinoma
title_full_unstemmed Irinotecan drug eluting beads used as a treatment of advanced intra hepatic cholangiocarcinoma
title_short Irinotecan drug eluting beads used as a treatment of advanced intra hepatic cholangiocarcinoma
title_sort irinotecan drug eluting beads used as a treatment of advanced intra hepatic cholangiocarcinoma
topic Intrahepatic Cholangiocarcinoma
Irinotecan
Drug Eluting Beads
Transarterial-chemoembolization
url http://www.radiologycases.com/index.php/radiologycases/article/view/48
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AT mariegeorgeslapalus irinotecandrugelutingbeadsusedasatreatmentofadvancedintrahepaticcholangiocarcinoma
AT carolepaillet irinotecandrugelutingbeadsusedasatreatmentofadvancedintrahepaticcholangiocarcinoma
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