Safety and efficacy of 125 I brachytherapy for bilateral lung recurrences from hepatocellular carcinoma after resection or ablation

To evaluate the safety and efficacy of I brachytherapy to treat bilateral lung recurrences from hepatocellular carcinoma (HCC) after resection or ablation. We retrospectively recruited 95 patients with bilateral lung recurrences from hepatocellular carcinoma (HCC) after resection or ablation who had...

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Veröffentlicht in:Journal of cancer research and clinical oncology 2019-07, Vol.145 (7), p.1907
Hauptverfasser: Xiang, Zhanwang, Bai, Mingjun, Li, Guohong, Zou, Bihui, Zhong, Zhihui, Gao, Fei, Wu, Chun, Huang, Mingsheng, Zhang, Fujun
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container_issue 7
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container_title Journal of cancer research and clinical oncology
container_volume 145
creator Xiang, Zhanwang
Bai, Mingjun
Li, Guohong
Zou, Bihui
Zhong, Zhihui
Gao, Fei
Wu, Chun
Huang, Mingsheng
Zhang, Fujun
description To evaluate the safety and efficacy of I brachytherapy to treat bilateral lung recurrences from hepatocellular carcinoma (HCC) after resection or ablation. We retrospectively recruited 95 patients with bilateral lung recurrences from hepatocellular carcinoma (HCC) after resection or ablation who had received 3-6-month sorafenib with or without stereotactic body radiotherapy (SBRT), from October 2011 to January 2015; patients were then randomly divided into two groups, 44 patients received computed tomography (CT)-guided I brachytherapy (group A), and 51 patients were treated with supportive and symptomatic treatments (group B). The median survival time was 19 months (range of 3-36 months). The local response rate (LRR) at 3, 6, 12, 18, 24, 30 and 36 months in group A was 81.8%, 65.9%, 59.1%, 45.0%, 38.6%, 22.7%, 11.4%, respectively, and 64.7%, 47.1%, 33.3%, 25.4%, 15.7%, 11.7%, 7.8%, respectively, in group B (P 
doi_str_mv 10.1007/s00432-019-02943-x
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We retrospectively recruited 95 patients with bilateral lung recurrences from hepatocellular carcinoma (HCC) after resection or ablation who had received 3-6-month sorafenib with or without stereotactic body radiotherapy (SBRT), from October 2011 to January 2015; patients were then randomly divided into two groups, 44 patients received computed tomography (CT)-guided I brachytherapy (group A), and 51 patients were treated with supportive and symptomatic treatments (group B). The median survival time was 19 months (range of 3-36 months). The local response rate (LRR) at 3, 6, 12, 18, 24, 30 and 36 months in group A was 81.8%, 65.9%, 59.1%, 45.0%, 38.6%, 22.7%, 11.4%, respectively, and 64.7%, 47.1%, 33.3%, 25.4%, 15.7%, 11.7%, 7.8%, respectively, in group B (P &lt; 0.05). The mean progression-free survival time (PFST) and overall survival (OS) of group A were significantly longer than those of group B. Alpha fetoprotein (AFP) and tumor size were independent factors that affected the PFST and OS, normal AFP levels and less than 1-cm tumor diameter had better PFST and OS (P &lt; 0.05). No massive bleeding or serious complications occurred. 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Alpha fetoprotein (AFP) and tumor size were independent factors that affected the PFST and OS, normal AFP levels and less than 1-cm tumor diameter had better PFST and OS (P &lt; 0.05). No massive bleeding or serious complications occurred. 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Alpha fetoprotein (AFP) and tumor size were independent factors that affected the PFST and OS, normal AFP levels and less than 1-cm tumor diameter had better PFST and OS (P &lt; 0.05). No massive bleeding or serious complications occurred. CT-guided I brachytherapy is safe and effective for the treatment of bilateral lung recurrences from HCC after resection or ablation.</abstract><cop>Germany</cop><pmid>31161374</pmid><doi>10.1007/s00432-019-02943-x</doi><orcidid>https://orcid.org/0000-0002-7978-5992</orcidid></addata></record>
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source MEDLINE; Springer Nature - Complete Springer Journals
subjects Brachytherapy - adverse effects
Brachytherapy - methods
Carcinoma, Hepatocellular - radiotherapy
Carcinoma, Hepatocellular - surgery
Female
Humans
Iodine Radioisotopes - administration & dosage
Liver Neoplasms - radiotherapy
Liver Neoplasms - surgery
Male
Middle Aged
Retrospective Studies
title Safety and efficacy of 125 I brachytherapy for bilateral lung recurrences from hepatocellular carcinoma after resection or ablation
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