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索拉非尼在中晚期肝细胞肝癌治疗中的临床价值 被引量:10

The clinical value of sorafenib in treatment for advanced hepatocellular carcinoma
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摘要 目的:探讨索拉非尼在中晚期肝细胞肝癌联合治疗中的临床价值。方法:回顾性分析21例口服索拉非尼的中晚期肝细胞肝癌患者的临床资料,其中12例患者单纯行经肝动脉化疗栓塞术(TACE)治疗,2例患者行超声聚焦刀和生物治疗,4例患者行TACE结合微波消融治疗,3例患者行TACE、微波消融和生物综合治疗。结果:21例患者中完全缓解(CR)2例(9.5%),部分缓解(PR)3例(14.3%),疾病稳定(SD)10例(47.6%),疾病进展(PD)6例(28.6%),临床获益率(CBR)为71.4%。结论:索拉非尼在中晚期肝细胞肝癌综合治疗中明显提高患者临床获益率,延长肿瘤进展时间。 Objective:To investigate the clinical value of sorafenib in combination treatment for advanced hepatocellular carcinoma. Methods:21 advanced hepatocellular carcinoma patients receiving sorafenib were retrospectively analyzed, in which 12 patients were only treated with transcatheter arterial chemoembolization(TACE), 2 patients were treated with biotherapy and high intensity focused ultrasound, 4 patients were treated with TACE and radio frequency current ablation, 3 patients were treated with TACE, biotherapy and radio frequency current ablation. Results:2 patients achieved a complete response (CR 9.5%), 3 patients achieved a partial response (PR 14.3%), 10 patients had stable disease (SD 47.6%), 6 patients had progressive disease (PD 28.6%), and clinical benefit rate (CBR) was 71.4%. Conclusion:Sorafenib in combination treatment for advanced hepatocellular carcinoma can increase clinical benefit rate and prolong the time to tumor progression.
作者 戴峰 朱西琪
出处 《东南大学学报(医学版)》 CAS 北大核心 2016年第1期106-108,共3页 Journal of Southeast University(Medical Science Edition)
关键词 肝细胞肝癌 索拉非尼 经肝动脉化疗栓塞术 hepatocellular carcinoma sorafenib transcatheter arterial chemoembolization
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参考文献9

  • 1陈荔,滕皋军.TACE对原发性肝癌肝功能的损伤[J].东南大学学报(医学版),2012,31(5):643-647. 被引量:19
  • 2SHIM J H,PARK J W,CHOI J I,et al.Practical efficacy of sorafenibmonotherapy for advanced hepatocellular carcinoma patients in a hepatitis B virus-endemic area[J].J Cancer Res Clin Ocol,2009,135(10):617-625.
  • 3CHENG A,KANG Y,CHEN Z,et al.Efficacy and safety of sorafenib in patients in Asia-Asia-Pacific region with advanced hepatocellular carcinoma:a phase Ⅲ randomized,double-blind,placebo-controlled trial[J].Lancet Oncol,2009,10(1):25-34.
  • 4GARNETT M J,MARAIS R.Guilty as charged:B-RAF is ahuman oncogene[J].Cancer Cell,2004,6(4):313-319.
  • 5CHANG Y S,ADNANE J,TRAIL P A,et al.Sorafenib inhibits tumor growth and vascularization and induces tumor apoptosis and hypoxia in RCC xenograft models[J].Cancer Chemother Pharmacol,2007,59(5):561-574.
  • 6LLOVET J M,RICCI S,MAZZAFERRO V,et al.Sorafenib in advanced hepatocellular carcinoma[J].N Engl J Med,2008,359(4):378-390.
  • 7LLOVET J M,BURROUGHS A,BRUIC J.Hepatocellular carcinoma[J].Lancet,2003,362(9399):1907-1917.
  • 8CHU D,LACOUTURE M E,FILLOS T,et al.Risk of hand-foot skin reaction with sorafenib:a systematic review and meta-analysis[J].Acta Oncol,2008,47(4):176-186.
  • 9庞旭峰,余晓晨,王祖森,张鑫,付晓悦,吴力群.肝癌患者服用索拉非尼不良反应的严重性及其与预后的关系[J].山东医药,2013,53(43):80-81. 被引量:5

二级参考文献16

  • 1Llovet JM, Ricci S, Mazzaferro V, et al. Sorafenib in advanced hepa- tocellular carcinoma[J]. N Engl J Med, 2008,359(4) :378-390.
  • 2Cheng AL, Kang YK, Chert Z, et al. Efficacy and safety of sor- afenib in patients in the Asia-Pacific region with advanced hepato- cellular carcinoma: a phase 111 randomised, double-blind, place- bo-controlled trial[J]. Lancet Oncol, 2009,10( 1 ) :25-34.
  • 3Eisenhauer EA, Therasse P, Bogaerts J, et al. New response eval- uation criteria in solid tumours:revised REC1ST guideline (version 1.1) [J]. Eur J Cancer, 2009,45(2) :228-247.
  • 4Sergio A, Cfistofofi C, Cardin R, et al. Transcatheter arterial che- moembolization (TACE) in hepatocellular carcinoma (HCC) : the role of angiogenesis and invasivcncss [ J ]. Am J Gastroenterol, 2008,103 (4) :914-921.
  • 5Cheng AL, Guan ZZ, Chen AD, et al. Efficacy and safety of sor- afenib in patients with advanced hepatocellular carcinoma according to baseline status: subset analyses of the phase III Sorafenib Asia- Pacific trial[ J ]. Eur J Cancer, 2012,48 (7) : 1452-1465.
  • 6Vincenzi B, Santini D, Russo A, et al. Early skin toxicity as a predictive factor for tumor control in hepatocellular carcinoma pa- tients treated with sorafenib[ J]. Oncologist, 2010,15( 1 ) :85-92.
  • 7Koschny R, Gotthardt D, Koehler C, et al. Diarrhea is a positive outcome predictor for sorafenib treatment of advanced hepatocellular carcinoma[ J]. Oncology, 2013,84( 1 ) :6-13.
  • 8Mir O, Coriat R, Boudou-Rouquette P, et al. Sorafenib-induced diarrhea and hypopho- sphatemia: mechanisms and therapeutic im- plications[ J]. Ann Oncol, 2012,23 ( 1 ) :280-281.
  • 9陈刚,邱少敏.经导管肝动脉化学栓塞术对原发性肝癌患者肝功能的影响[J].东南大学学报(医学版),2008,27(5):373-374. 被引量:13
  • 10俞婷,俞谦,欧希龙,曹大中,孙为豪.原发性肝癌肝动脉化疗栓塞后严重肝功能失代偿的相关因素分析[J].现代医学,2009,37(1):20-23. 被引量:8

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