Gastroenterol Res Pract. 2018 Apr 01;2018:6414759. doi: 10.1155/2018/6414759. eCollection 2018.
Efficacy of Transarterial Chemoembolisation with or without Antiviral Therapy for Patients with Hepatocellular Carcinoma after Radical Hepatectomy.
Gastroenterology research and practice
Yin Zhu, Pei-Jing Cui, Jing Yao, Zheng-Yun Zhang, Jun Yang
Affiliations
Affiliations
- Department of Surgery, Affiliated Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai 200233, China.
- Department of Geriatrics, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200025, China.
PMID: 29805444
PMCID: PMC5902052 DOI: 10.1155/2018/6414759
Abstract
OBJECTIVE: This study aimed at assessing the effects of transcatheter arterial chemoembolisation (TACE) and antiviral therapy on improving the prognosis of patients with hepatocellular carcinoma (HCC) after radical hepatectomy.
METHODS: This study reviewed the data of 120 patients with HCC who received either radical hepatectomy alone (control group), radical hepatectomy with postoperative TACE (TACE group) or radical hepatectomy with combined postoperative TACE, and antiviral therapy (combined group) from January 2000 to May 2015. To reduce the impact of the possible biases on the conclusion of this study to the minimum, the cases with similar demographic and clinicopathological characteristics were collected and 40 cases were assigned into each group. Recurrence, disease-free survival (DFS), and overall survival (OS) rates were compared.
RESULTS: Median follow-up period was 54.26 ± 22.65 months with a range of 17-110 months. Recurrence after radical surgery was observed for 39 (97.5%) patients in the TACE group, 32 (80%) in the combined group, and 40 (100%) in the control group with median recurrence duration of 33, 43, and 16.5 months, respectively. Postoperative TACE with or without antiviral therapy significantly prolonged the DFS rate compared with radical hepatectomy alone (
CONCLUSION: TACE is an appropriate therapy for HCC patients after radical hepatectomy. When combined with antiviral therapy, this treatment may further prolong the recurrence time and thus lead to high DFS and OS rates.
References
- World J Gastroenterol. 2005 Dec 21;11(47):7391-400 - PubMed
- Gastroenterology. 1991 Jan;100(1):182-8 - PubMed
- Hepatogastroenterology. 2006 Mar-Apr;53(68):249-52 - PubMed
- Tumour Biol. 2015 Aug;36(8):6277-84 - PubMed
- Hepatogastroenterology. 2013 Mar-Apr;60(122):248-51 - PubMed
- J Gastroenterol Hepatol. 2011 Jan;26 Suppl 1:138-43 - PubMed
- Asia Pac J Clin Oncol. 2012 Dec;8(4):356-61 - PubMed
- Chin Med J (Engl). 2013 Mar;126(5):855-9 - PubMed
- Hepatobiliary Pancreat Dis Int. 2010 Feb;9(1):33-7 - PubMed
- Gastroenterology. 2004 Nov;127(5 Suppl 1):S35-50 - PubMed
- World J Gastroenterol. 2004 Oct 1;10(19):2791-4 - PubMed
- J Med Virol. 2008 Apr;80(4):591-7 - PubMed
- World J Gastroenterol. 2010 Dec 21;16(47):5993-6000 - PubMed
- J Hepatol. 2003 Feb;38(2):200-7 - PubMed
- Ann Surg Oncol. 2010 Jan;17(1):179-85 - PubMed
- Radiology. 1976 Sep;120(3):539-45 - PubMed
- Kaohsiung J Med Sci. 2011 Dec;27(12):554-9 - PubMed
- J Gastroenterol Hepatol. 2007 Nov;22(11):1929-35 - PubMed
- Hepatobiliary Pancreat Dis Int. 2009 Apr;8(2):124-33 - PubMed
- Tumour Biol. 2014 Oct;35(10):9459-68 - PubMed
- Acta Med Okayama. 2005 Oct;59(5):217-24 - PubMed
- Scand J Gastroenterol. 2014 Jun;49(6):649-61 - PubMed
- Hepatol Res. 2010 Oct;40(10):943-53 - PubMed
- J Hepatol. 2004 Sep;41(3):427-35 - PubMed
- Am J Gastroenterol. 2008 Jul;103(7):1663-73 - PubMed
- Liver Int. 2013 Apr;33(4):595-604 - PubMed
- Biomed Pharmacother. 2016 Dec;84:1679-1688 - PubMed
- Hepatogastroenterology. 1999 Mar-Apr;46(26):1083-8 - PubMed
- Cochrane Database Syst Rev. 2009 Jan 21;(1):CD001199 - PubMed
- J Cancer Res Clin Oncol. 1995;121(6):364-6 - PubMed
- Zhonghua Wai Ke Za Zhi. 2007 May 1;45(9):587-90 - PubMed
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