Transcatheter arterial chemoembolization for hepatocellular carcinoma complicated by portal vein tumor thrombosis: prognostic analysis
10.3969/j.issn.1008-794X.2018.03.017
- VernacularTitle:TACE治疗肝癌伴门脉癌栓患者的预后分析
- Author:
Peng CUI
1
;
Xiaoli DU
;
Han ZHOU
;
Qingwen LIU
;
Yun GUO
;
Chunmiao WU
;
Xiping LIU
Author Information
1. 610031,成都市第三人民医院介入放射科
- Keywords:
primary hepatocelluar carcinoma;
portal vein tumor thrombosis;
transcatheter arterial chemoembolization;
prognostic factor;
survival rate
- From:
Journal of Interventional Radiology
2018;27(3):266-271
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the potential prognostic factors in patients with hepatocellular carcinoma (HCC) complicate by portal vein tumor thrombosis (PVTT) who are treated with transcatheter arterial chemoembolization (TACE). Methods The complete clinical data of a total of 46 patients with HCC complicate by PVTT, who were treated with TACE during the period from January 2010 to March 2016, were retrospectively analyzed. Clinical material database was established. Kaplan-Meier test was adopted to analyze the survival rate and the COX risk ratio model was used to screen out the independent prognostic factors. Life table method was employed to calculate the survival time. Results The 6-, 12-, 18- and 24-month survival rates were 51. 2％, 28. 9％, 23. 4％ and 10. 2％, respectively. The median survival time was 6. 7 months. According to mRECIST standard, complete remission (CR) was obtained in one patient (2. 1％), partial remission (PR) in 11 patients (23. 9％), stable disease (SD) in 16 patients (34. 8％) and progress disease (PD) in 18 patients (39. 2％). Multivariate analysis indicated that local tumor response, ascites, cholinesterase, and arteriovenous fistula were the independent factors affecting the prognosis. Conclusion The independent prognostic factors that affect the survival time of HCC patient include local tumor response, ascites, cholinesterase and arteriovenous fistula. (J Intervent Radiol, 2018, 27: 266-271)
