超越肝细胞癌的化学栓塞:我们可以治疗哪些瘤以及何时?
Daniel M DePietro1, Xin Li2, Susan M Shamimi-Noori1
1Division of Interventional Radiology, Department of Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Seminars in interventional radiology
|March 18, 2024
概括
跨动脉化学栓塞 (TACE) 对肝转移有好处,改善了生存和症状. 本综述详细介绍了除肝癌之外的各种原发性瘤的TACE技术和结果.
科学领域:
- 干预性放射学 干预性放射学
- 在瘤学瘤学.
背景情况:
- 肝转移比初级肝瘤更常见.
- 患者通常患有晚期疾病,限制了手术选择.
- 肝动脉供应使得有针对性的跨动脉治疗成为可能.
研究的目的:
- 审查肝转移的跨动脉化学栓塞 (TACE) 技术.
- 讨论针对特定原发性瘤的TACE考虑因素.
- 在治疗算法中总结TACE指示的数据.
主要方法:
- 对TACE关于肝转移的现有文献的审查.
- 对TACE疗法和结直肠,神经内分泌和皮膜黑色素瘤转移的结果的分析.
- 关于TACE表示的数据综合.
主要成果:
- TACE在没有肝病进展的存活率,整体存活率和症状缓解方面显示出好处.
- 根据原发性瘤,TACE技术和结果会有所不同.
- 对结直肠,神经内分泌和皮膜黑色素瘤转移的具体数据进行了审查.
结论:
- TACE 是一种有价值的治疗方法,用于各种原发性癌症的肝转移.
- 了解主要瘤特异性TACE方法对于最佳结果至关重要.
- 在选择性肝转移的治疗算法中应考虑TACE.
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