1.The Status of Heavy Metals Pollution in Soil along Diaojiang River Sides
Shuqiao SONG ; Haodong WU ; Weiyuan LAN
Journal of Environment and Health 1992;0(04):-
Objective To understand the soil heavy metal pollution along Diaojiang river and to search the way of using the polluted land in safety. Methods Twelve sampling sites were selected along the river sides, the soil, rice and corn samples were collected and the content of heavy metals was determined. Results The investigation revealed that the main pollutants in the soils were As, Pb, Cd, Zn, etc., the polluted area was coincided with the flooded area and the content of Cd, Pb in the rice and Pb, Cd and Zn in the corn planted in the polluted area was over the limits of national food hygiene standards. Conclusion This paper suggests food crops should be forbidden and mulberry be planted in the polluted area. The severely polluted area where the deposits of mine tailings are obvious should be changed to tailing ponds and the plant restoration and reconstruction should be conducted in these areas.
2. Comparison of therapeutics effects of transcatheter arterial chemoembolization combined with iodine-125 seed implantation and sorafenib for the treatment of hepatocellular carcinoma with portal vein tumor thrombosis
Jun LUO ; Jiaping ZHENG ; Guoliang SHAO ; Song WEN ; Liwen GUO ; Hui ZENG ; Lan ZHANG ; Chaoyi QIAN ; Weiyuan HAO
Chinese Journal of Hepatology 2018;26(4):298-304
Objective:
To explore the factors affecting the prognosis of patients with hepatocellular carcinoma (HCC) combined with portal vein tumor thrombosis (PVTT), and to analyze the clinical value of transcatheter arterial chemoembolization (TACE) combined with iodine-125 seed implantation in such patients.
Methods:
A retrospective analysis of 53 patients with HCC combined with PVTT was performed. In the study group, 32 cases were treated with TACE combined with iodine-125 seed implantation, and 21 cases in the control group were treated with TACE combined with sorafenib. Survival analysis was carried out on eight factors such as gender, age, Child-Pugh classification, alpha fetoprotein level, portal vein tumor thrombosis (PVTT) type, forms of liver tumor, extra-hepatic metastasis and treatment modalities. The efficacy of TACE combined with iodine-125 seed implantation and TACE combined with sorafenib was further compared. The χ 2 test was used to evaluate the efficacy of the two groups. A single factor survival analysis was calculated by Kaplan-Meier estimator and multifactor survival analysis by Cox proportional hazards model.
Results:
All 53 patients were successfully treated. The median tumor progression time (mTTP) and median overall survival (mOS) were 8 months and 11 months, respectively. The disease control rate (DCR) of the study group for PVTT was 93.8%, which was significantly higher than that of the control group (61.9%, χ 2 = 6.448, P = 0.011). The difference was statistically significant; the objective remission rate of the study group for PVTT was 75.0%. Significantly higher than 9.5% in the control group, P < 0.05, the difference was statistically significant; the DCR of the primary tumor in the study group was 50.0%, which was lower than the 70.0% of the PVTT in the control group, P = 0.231, the difference was not statistically significant. The progression of primary HCC lesions in patients with multivariate survival analysis: Child-Pugh grade A patients were compared to grade B [Hazard ratio (HR) = 0.236, P = 0.003]; no extra-hepatic metastasis (HR = 0.258, P = 0.002); and TACE combined with iodine-125 seed implantation group compared with TACE combined sorafenib group (HR = 0.372, P = 0.002), the differences were statistically significant. Multivariate survival analysis of patients with overall survival: AFP < 400 ng/mL vs. AFP≥400 ng/mL (HR = 0.389, P = 0.030); Child-Pugh grade A vs. B (HR = 0.263, P = 0.006); and no extra-hepatic metastasis (HR = 0.306, P = 0.006), the differences were statistically significant.
Conclusion
TACE combined with iodine-125 seed implantation for the treatment of HCC with PVTT can effectively control the progression of PVTT and intrahepatic lesions and improve the prognosis of patients.