Application of interventional therapy via hepatic artery in pancreatic neuroendocrine neoplasms liver metastases

Haikuan Liu, Hang Yu, Dequan Yang, Wang Yao, Yu Wang
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Abstract

Pancreatic neuroendocrine neoplasm (PNEN) is the second most common malignant tumor of the pancreas. It has the characteristic of high metastases rate, and liver is the most common site for metastasis. Metastasis affects prognosis and survival seriously. A number of earlier studies have shown that the interventional therapy via hepatic artery could reduce hepatic tumor burden and hormone secretion safely and rapidly, significantly improve objective response rate (ORR), and enhance the efficacy and prolong the survival time when combined with system therapy. The interventional therapy via hepatic artery plays an important role in the treatment of PNEN liver metastases. Interventional therapy via hepatic artery could possibly increase ORR, prolong progression-free survival, and even overall survival for appropriate patients.
经肝动脉介入治疗在胰腺神经内分泌肿瘤肝转移中的应用
胰腺神经内分泌肿瘤(PNEN)是胰腺第二常见的恶性肿瘤。它具有高转移率的特点,肝脏是最常见的转移部位。转移严重影响预后和生存。前期多项研究表明,经肝动脉介入治疗可安全、快速地减轻肝脏肿瘤负荷和激素分泌,显著提高客观反应率(ORR),与系统治疗联合使用可提高疗效,延长生存时间。经肝动脉介入治疗在PNEN肝转移的治疗中起着重要作用。经肝动脉介入治疗有可能提高ORR,延长患者无进展生存期,甚至延长患者总生存期。
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