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Cell-Free and Concentrated Ascites Reinfusion Therapy (CART) Shows Enhanced Efficacy in Gynecological Cancer
Nami Tamura1, Takashi Hirayama1, Emiko Yoshida1
1Department of Obstetrics and Gynecology, Juntendo University, Tokyo, Japan.
Introduction:
Ascites management is crucial for gynecological cancer patients requiring long-term treatment. Cancer type-specific differences may influence CART outcomes, but comparative data remain limited. This study evaluated CART efficacy in gynecological versus other cancers.
Methods:
This subgroup analysis included 125 cancer patients undergoing 296 CART sessions at 22 Japanese centers (2014-2015). Patients were divided into gynecological cancer (Group G, n = 46) and other cancer groups (Group O, n = 79).
Results:
Group G had significantly higher concurrent chemotherapy rates (41.2% vs. 12.3%, p < 0.001) and ascitic protein/albumin concentrations. Group G showed significant renal function improvements: decreased serum creatinine (0.7 ± 0.3 to 0.6 ± 0.3 mg/dL, p < 0.001), decreased BUN (17.9 ± 8.7 to 14.5 ± 9.0 mg/dL, p < 0.001), and increased eGFR (72.7 ± 24.8 to 81.3 ± 27.6 mL/min/1.73 m2, p < 0.001). Drainage intervals were longer in Group G (20.0 ± 13.8 vs. 11.7 ± 10.9 days, p < 0.001).
Conclusion:
CART demonstrates enhanced efficacy in gynecological cancer patients, particularly improving renal function, potentially reducing chemotherapy-related toxicity, and improving treatment tolerability.
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