RESULTS OF TRANSARTERIAL CHEMOEMBOLIZATION OF STOMACH CANCER METASTASES IN THE LIVER
Results of treatment of 60 patients with gastric cancer with liver metastases are analyzed. Immediate results have shown the effectiveness of treatment after 2 cycles of TACE in 49(81,7%) patients: partial response was observed in 36 (60%) patients and a significant regression of the process was...
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| Format: | Article |
| Language: | English |
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Bashkir State Medical University
2017-02-01
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| Series: | Креативная хирургия и онкология |
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| Online Access: | https://www.surgonco.ru/jour/article/view/167 |
| Summary: | Results of treatment of 60 patients with gastric cancer with liver metastases are analyzed. Immediate results have shown the effectiveness of treatment after 2 cycles of TACE in 49(81,7%) patients: partial response was observed in 36 (60%) patients and a significant regression of the process was observed in 13 (21,6%) patients, the process of stabilization was observed in 11 (18,3%) patients. Subsequent evaluation of the effectiveness of the results of treatment of patients after 4 and 6 courses of TACE were identical. Partial response was observed in the process of 18 (30%) patients, stabilization persisted in 12 (20%) patients. The progression by 8-9 months of treatment was seen in 30 (50%) patients. In assessing the general condition of patients focused on the quality of life for patients. All patients had a positive treatment outcome overall by Karnovsky remained at the level of 75-80% (ECOG 1-2), which does not limit the patients and did not require prolonged hospitalization. The average time of hospitalization of patients with each course (cycle) TACE averaged 5±2 day. In the dynamic tracking of patients in terms of 12, 18, 24 months more than 12 months 24 (40%) patients are alive, 11 (18,3%) patients are alive during 18 months. 8 (13,3%) patients are alive during 24 months. Median survival was 15,5±1,2 months. Thus, in the present the TACE method in stomach cancer metastasis treatment can be considered like an effective, low toxicity method of treatment and may be a method of choice for improving survival and quality of life of the difficult category of patients. |
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| ISSN: | 2076-3093 2307-0501 |