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透静脉肺化学栓塞和可选的微波除对于结肠直肠肺转移的肺转移

Thomas J Vogl¹, Lars Hammann¹, Hamzah Adwan¹

¹Department of Diagnostic and Interventional Radiology, University Hospital, Goethe University Frankfurt, Theodor-Stern-Kai 7, 60590 Frankfurt, Germany.

Journal of clinical medicine

|May 27, 2023

概括

透静脉肺化学栓塞 (TPCE) 有效治疗结直肠肺转移. 将TPCE与微波切除 (MWA) 结合起来,为无法切除的瘤提供了潜在的治疗选择,改善了患者的生存结果.

科学领域:

干预性放射学干预性放射学
在瘤学瘤学.
肺部医学肺部医学

背景情况:

结直肠肺转移通常无法切除,并且耐化学疗法.
透静脉肺化学栓塞 (TPCE) 和微波切除 (MWA) 是新兴的治疗选择.

研究的目的:

评估结直肠肺转移无法切除的患者的瘤反应和生存率.
为了比较单独的TPCE (缓解) 与TPCE,其次是MWA (治疗意图).

主要方法:

对164名无法切除结直肠肺转移的患者进行了回顾性分析.
组A:仅接受TPCE. 组B:获得TPCE,其次是MWA.
用RECIST标准对A组和局部瘤进展 (LTP) /肺内远程复发 (IDR) 评估瘤反应.

主要成果:

整体1年,2年,3年和4年的生存率分别为70.4%,41.4%,22.3%和5%.
在A组中,55.4%的患者观察到稳定的疾病.
在B组中,LTP为3.8%,IDR为63.5%.

结论:

TPCE是结直肠肺转移的有效息治疗方法.
与MWA结合的TPCE显示出管理不可切除的结直肠肺转移的潜力.
这两种治疗策略都在改善该患者群体的治疗结果方面表现出有效性.

关键词:

在MWAWA中,MWAWA就是MWA.TPCECE TPCE 这是一个很好的例子.大肠直肠肺转移.

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