Radiologically placed hepatic artery catheter allows selection of patients with high-volume liver metastases for regional chemotherapy
Autor: | David L. Morris, Jing Zhao, Philip R. Clingan, Derek Glenn |
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Rok vydání: | 1998 |
Předmět: |
Adult
medicine.medical_specialty Antimetabolites Antineoplastic Colorectal cancer medicine.medical_treatment Hepatic artery catheter Hepatic Artery Catheterization Peripheral medicine Humans Infusions Intra-Arterial Radiology Nuclear Medicine and imaging Aged Chemotherapy medicine.diagnostic_test Regional chemotherapy business.industry Liver Neoplasms Interventional radiology Middle Aged medicine.disease Surgery Carcinoembryonic Antigen Survival Rate Radiological weapon Radiology Fluorouracil business Colorectal Neoplasms |
Zdroj: | Australasian radiology. 42(3) |
ISSN: | 0004-8461 |
Popis: | SUMMARY Regional chemotherapy has achieved high response rates in hepatic metastases from colorectal cancer and has been shown to improve survival significantly. The present paper reports the use of pre-operative regional therapy to establish marker response as a means of selection of patients for surgery. Fourteen patients underwent radiologically placed hepatic artery catheter (HAC) for chemotherapy. In the 11 patients with carcino-embryonic antigen (CEA) fall the patient proceeded to open surgical placement of HAC. The predictive effect of CEA fall following radiological HAC was good. Non-responding patients are clearly spared the discomfort and inconvenience and costs of an unnecessary operation. |
Databáze: | OpenAIRE |
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