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Improved survival following transarterial radioembolization of infiltrative-appearance hepatocellular carcinoma
- Source :
- Abdominal Radiology. 46:1958-1966
- Publication Year :
- 2021
- Publisher :
- Springer Science and Business Media LLC, 2021.
-
Abstract
- Infiltrative-appearance hepatocellular carcinoma presents a challenge to clinicians as diagnostic criteria continue to evolve and evidence-based treatment guidelines have yet to be established. While transarterial radioembolization has shown efficacy in hepatocellular carcinoma, many studies exclude infiltrative-appearance HCC in their analysis. The purpose of this study was to describe imaging features of infiltrative-appearance hepatocellular carcinoma and evaluate effects of radioembolization on survival. In a retrospective review, infiltrative HCC patients treated from 2008 to 2017 were identified. Patients were divided into two groups: TARE versus systemic therapy/palliative care. Demographics, dates of diagnosis/expiry, albumin, international normalized ratio (INR), sodium, alpha-fetoprotein (AFP), creatinine, Child-Pugh class, model for end-stage liver disease (MELD) score, bilirubin, radiation dose and volume were collected. Patients with bilirubin > 3 were excluded. Mann–Whitney U test and Fisher’s exact test assessed differences between groups. Kaplan–Meier survival and Cox proportional hazard analyses were performed. Fifty-three patients were identified, 15 underwent TARE while 38 served as control. Mean age was 60, 43 patients were male. The mean overall survival was 16.2 months for the TARE group and 5.3 months for the control group (Log-rank p
- Subjects :
- Sorafenib
medicine.medical_specialty
Palliative care
Radiological and Ultrasound Technology
Tare weight
business.industry
Urology
Gastroenterology
Cancer
Hepatology
medicine.disease
030218 nuclear medicine & medical imaging
03 medical and health sciences
Exact test
Liver disease
0302 clinical medicine
030220 oncology & carcinogenesis
Internal medicine
Hepatocellular carcinoma
medicine
Radiology, Nuclear Medicine and imaging
business
medicine.drug
Subjects
Details
- ISSN :
- 23660058 and 2366004X
- Volume :
- 46
- Database :
- OpenAIRE
- Journal :
- Abdominal Radiology
- Accession number :
- edsair.doi...........5748e66b3de25e6d6d54e8f12a38b75a