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索拉非尼联合肝动脉化疗栓塞术治疗中晚期肝癌的有效性和安全性分析 被引量:2

Analysis of efficacy and safety of sorafenib combined with transcatheter arterial chemoembolization in treatment of advanced hepatocellular carcinoma
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摘要 目的评价索拉非尼联合肝动脉化疗栓塞术(TACE)治疗中晚期肝癌的有效性和安全性。方法选取中国人民解放军第302医院2012年2月-2013年8月收治的中晚期肝癌患者50例。其中单纯TACE治疗患者28例(单纯组),索拉非尼联合TACE治疗患者22例(联合组)。比较2组的总有效率、中位无进展生存期(PFS)及不良反应发生情况。结果联合组的总有效率为63.6%高于单纯组的17.9%,联合组的PFS为(9.41±1.79)个月长于单纯组约(4.50±1.23)个月,差异均有统计学意义(P<0.01)。2组均未出现严重不良反应。结论索拉非尼联合TACE治疗中晚期肝癌是安全、有效的,值得临床推广。 Objective To evaluate the efficacy and safety of sorafenib combined with transcatheter arterial chemoembolization( TACE) in the treatment of advanced hepatocellular carcinoma. Methods Selected 50 patients with advanced hepatocellular carcinoma from February 2012 to August 2013 in No. 302 Military Hospital of PLA. 28 patients treated with TACE alone( simple group),22 patients treated with TACE combined with sorafenib( combination group). Compared the total efficiency,progression-free survival( PFS) and dverse events of two groups. Results The total effective rate of combination group was63. 6% higher than 17. 9% of simple group; The PFS of combination group were( 9. 41 ± 1. 79) months shorter than( 4. 50 ±1. 23) months of simple group,the difference was statistically significant( P 0. 01). No serious adverse reactions occurred of two group. Conclusion Sorafenib combined with TACE in the treatment of advanced liver cancer is safe and effective,worthy of clinical promotion.
出处 《临床合理用药杂志》 2015年第25期25-26,共2页 Chinese Journal of Clinical Rational Drug Use
关键词 中晚期肝癌 索拉非尼 肝动脉化疗栓塞术 安全性 Liver cancer Sorafenib Transcatheter arterial chemoembolization Safety
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参考文献9

  • 1陈万青,郑荣寿,曾红梅,邹小农,张思维,赫捷.2011年中国恶性肿瘤发病和死亡分析[J].中国肿瘤,2015,24(1):1-10. 被引量:865
  • 2Forner A, Reig ME, de Lope CR, et al. Current strategy for staging and treatment : the BCLC update and future prospects [ J ]. Seminars in Liver Disease,2010,30( 1 ) :61 -74.
  • 3Wang B, Xu H, Gao ZQ, et al. Increased expression of vascular endothe- lial growth factor in hepatocellular carcinoma after transcatheter arterial chemoembolization [ J ]. Acta Radiologica, 2008,49 ( 5 ) : 523 - 529.
  • 4刘祖华.热疗结合介入化疗栓塞术治疗中晚期肝癌的临床效果分析[J].中外医学研究,2015,13(17):6-8. 被引量:6
  • 5杨明,罗克品,谢岳云,邹同祥,施晓敏,傅志仁.肝动脉化疗栓塞联合索拉菲尼治疗中晚期肝细胞癌[J].肝胆胰外科杂志,2013,25(4):265-268. 被引量:14
  • 6Zhou L,Li J,Ai DL,et al. Enhanced therapeutic efficacy of combined use of sorafenib and transcatheter arterial chemoembolization for treat- ment of advanced hepatocellular carcinoma[J]. Japanese Journal of Clin- ical Oncology ,2014,44 ( 8 ) :711 - 717.
  • 7Chao Y, Chung YH, Han G, et al. The combination of transcatheter arte- rial chemoembolization and sorafenib is well tolerated and effective in A- sian patients with hepatocellular carcinoma:final results of the START triM[J]. International Journal of Cancer,2015,136(6) :1458 - 1467.
  • 8Fang-Ming Gu, Quan-Lin Li, Qiang Gao, Jia-Hao Jiang, Xiao-Yong Huang, Jin-Feng Pan, Jia Fan, Jian ZhouFang-Ming Gu, Quan-Lin Li, Qiang Gao, Jia-Hao Jiang, Xiao-Yong Huang, Jin-Feng Pan, Jia Fan, Jian Zhou, Liver Cancer Institute, Zhongshan Hospital and Shanghai Medical School, Fudan University, Shanghai 200032, China Author contributions: Gu FM, Li QL and Gao Q contributed equally to this work,Gu FM and Li QL performed the experi- ments and interpretation of the data and statistical analysis,Zhou J and Gao Q contributed to the conception and design of the study,Gu FM, Gao Q, Li QL and Zhou J wrote the manuscript,Jiang JH, Huang XY, Pan JF and Fan J made substantial contri- bution to the design and conception of the study and interpreta- tion of data,all authors read and approved the f inal manuscript..Sorafenib inhibits growth and metastasis of hepatocellular carcinoma by blocking STAT3[J].World Journal of Gastroenterology,2011,17(34):3922-3932. 被引量:18
  • 9Wu S, Chen J J, Kudelka A, et al. Incidence and risk of hypertension with sorafenib in patients with Cancer:a systematic review and meta-analysis [ J ]. Lancet Oncology,2008,9 ( 2 ) : 117 - 123.

二级参考文献64

  • 1EI-Serag HB, Rudolph KL. Hepatocellular carcinoma: epidemiology and molecular carcinogenesis. Gastroenterology 2007: 132:2557-2576.
  • 2Abou-Alfa GK. Hepatocellular carcinoma: molecular biology and therapy. Semin Onco12006; 33:S79-S83.
  • 3Darnell JE. Transcription factors as targets for cancer therapy. Nat Rev Cancer 2002; 2:740-749.
  • 4Yu H, Pardoll D, Jove R. STATs in cancer inflammation and immunity: a leading role for STAT3. Nat Rev Cancer 2009; 9: 798-809.
  • 5Yang SF, Wang SN, Wu CF, Yeh YT, Chai CY, Chunag SC, Sheen MC, Lee KT. Altered p-STAT3 (tyr705) expression is associated with histological grading and intratumour microvessel density in hepatocellular carcinoma. J Clin Pathol 2007; 60:642-648.
  • 6Aggarwal BB, Sethi G, Ahn KS, Sandur SK, Pandey MK, Kunnumakkara AB, Sung B, Ichikawa H. Targeting signal- transducer-and-activator-of-transcription-3 for prevention and therapy of cancer: modem target but ancient solution. Ann N Y Acad Sci 2006; 1091:151-169.
  • 7Masuda M, Wakasaki T, Suzui M, Toh S, Joe AK, Weinstein IB. Stat3 orchestrates tumor development and progression: the Achilles' heel of head and neck cancers? Curr Cancer Drug Targets 2010; 10:117-126.
  • 8Yu ~I, Jove R. The STATs of cancer-new molecular targets come of age. Nat Rev Cancer 2004; 4:97-105.
  • 9Li WC, Ye SL, Sun RX, Liu YK, Tang ZY, Kim Y, Karras JG, Zhang H. Inhibition of growth and metastasis of human hepatocellular carcinoma by antisense oligonucleotide targeting signal transducer and activator of transcription 3. Clin Cancer Res 2006; 12:7140-7148.
  • 10Wilhelm SM, Carter C, Tang L, Wilkie D, McNabola A, Rong H, Chen C, Zhang X, Vincent P, McHugh M, Cao Y, Shujath J, Gawlak S, Eveleigh D, Rowley B, Liu L, Adnane L, Lynch M, Auclair D, Taylor I, Gedrich R, VoznesenskyA, Riedl B, Post LE, Bollag G, Trail PA. BAY 43w9006 exhibits broad spectrum oral antitumor activity and targets the RAF/MEK/ERK pathway and receptor tyrosine kinases involved in tumor progression and angiogenesis. Cancer Res 2004; 64:7099-7109.

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