[Percutaneous transfemoral arterial implantation of drug delivery system for arterial infusion therapy of advanced primary hepatic carcinoma]
- PMID: 10920945
[Percutaneous transfemoral arterial implantation of drug delivery system for arterial infusion therapy of advanced primary hepatic carcinoma]
Abstract
Objective: To study the efficiency of arterial infusion chemotherapy via drug delivery system (DDS) for advanced primary hepatic carcinoma.
Methods: Hepatic arterial infusion chemotherapy was performed in 82 cases of primary hepatic carcinoma with no indication for operation or transarterial embolism treatment. The patients were divided into 2 group as follows: (1) Group A: 42 patients were treated intra-arterially once every 1 or 2 weeks via implanted DDS. (2) Group B: 40 patients were treated through one bolus arterial infusion chemotherapy, once every month.
Results: The response rate (CR + PR) was 38.1% and 15.0% respectively in group A and B (P < 0.05); the 0.5-, 1- and 2- year survival rate was 61.9%, 28.6% and 9.5% respectively in group A, but 20%, 5%, 0% respectively in group B (P < 0.01); Liver, biliary, gastrointestinal and bone marrow toxicity in group A patients was greatly lower than those in group B patients.
Conclusion: Intermittent arterial infusion chemotherapy via DDS significantly improves survival and quality of life in patients with advanced primary hepatic carcinoma.
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