Efficacy of transarterial chemoembolization combined with radiofrequency ablation in the treatment of liver metastases from colorectal cancer.

IF 2.8 3区 医学 Q2 ONCOLOGY
Junwei Yin, Yongli Zhao, Junping Yin, Shanshan Yang
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引用次数: 0

Abstract

Background: Liver metastases from colorectal cancer are a common and serious complication that significantly impacts patient survival. The aim of this study is to investigate the clinical efficacy of transarterial chemoembolization (TACE) combined with radiofrequency ablation (RFA) in the treatment of liver metastases from colorectal cancer.

Methods: A retrospective analysis was conducted on 120 patients with liver metastases from colorectal cancer who were treated in our hospital from January 2018 to January 2023. The patients were divided into two groups based on the treatment they received: the TACE group (n = 60) and the TACE combined with RFA group (n = 60). The overall survival (OS), progression-free survival (PFS), objective response rate (ORR), and disease control rate (DCR) were compared between the two groups, and treatment-related adverse effects were recorded.

Results: The TACE combined with RFA group showed significantly better OS (22 months vs. 18 months) and PFS (13 months vs. 10 months) compared to the TACE alone group (P < 0.05). The ORR in the TACE combined with RFA group was 61.7%, significantly higher than 40% in the TACE alone group (P < 0.05). The DCR showed no significant difference between the two groups, with 86.7% (52/60) in the TACE combined with RFA group and 78.3% (47/60) in the TACE alone group (P > 0.05). There were no significant differences in treatment-related adverse effects between the two groups (P > 0.05).

Conclusion: These findings suggest that TACE combined with RFA may offer a potential option for improving OS, PFS, and ORR in patients with liver metastases from colorectal cancer, without increasing significant adverse effects, setting a new potential standard of care in the treatment of this disease.

经动脉化疗栓塞联合射频消融治疗结直肠癌肝转移的疗效观察。
背景:结直肠癌肝转移是一种常见且严重的并发症,严重影响患者的生存。本研究旨在探讨经动脉化疗栓塞(TACE)联合射频消融(RFA)治疗结直肠癌肝转移的临床疗效。方法:回顾性分析2018年1月至2023年1月我院收治的120例结直肠癌肝转移患者。根据患者接受的治疗分为两组:TACE组(n = 60)和TACE联合RFA组(n = 60)。比较两组患者的总生存期(OS)、无进展生存期(PFS)、客观缓解率(ORR)、疾病控制率(DCR),并记录治疗相关不良反应。结果:TACE联合RFA组的OS(22个月vs 18个月)和PFS(13个月vs 10个月)均明显优于TACE单独组(P < 0.05)。两组治疗相关不良反应比较差异无统计学意义(P < 0.05)。结论:这些研究结果表明,TACE联合RFA可能为改善结直肠癌肝转移患者的OS、PFS和ORR提供了一种潜在的选择,而不会增加明显的不良反应,为该疾病的治疗设定了新的潜在的护理标准。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.20
自引率
2.90%
发文量
240
审稿时长
1 months
期刊介绍: Clinical and Translational Oncology is an international journal devoted to fostering interaction between experimental and clinical oncology. It covers all aspects of research on cancer, from the more basic discoveries dealing with both cell and molecular biology of tumour cells, to the most advanced clinical assays of conventional and new drugs. In addition, the journal has a strong commitment to facilitating the transfer of knowledge from the basic laboratory to the clinical practice, with the publication of educational series devoted to closing the gap between molecular and clinical oncologists. Molecular biology of tumours, identification of new targets for cancer therapy, and new technologies for research and treatment of cancer are the major themes covered by the educational series. Full research articles on a broad spectrum of subjects, including the molecular and cellular bases of disease, aetiology, pathophysiology, pathology, epidemiology, clinical features, and the diagnosis, prognosis and treatment of cancer, will be considered for publication.
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