Hepatic arterial infusion of oxaliplatin plus raltitrexed in unresectable hepatocellular carcinoma with or without portal vein tumour thrombosis  

作　　者：Shiguang Chen Wenchang Yu Kongzhi Zhang Weifu Liu Xiaolong Wang Chuanben Chen 

机构地区：[1]Department of Interventional Oncology,Fujian Medical University Cancer Hospital,Fuzhou,China [2]Department of Radiotherapy Oncology,Fujian Medical University Cancer Hospital,Fuzhou,China

出　　处：《Gastroenterology Report》2022年第1期341-348,共8页胃肠病学报道（英文）

基　　金：supported by the Guiding Project of Science and Technology Program of Fujian Province,China[grant number:2019Y0060].

摘　　要：Background Unresectable hepatocellular carcinoma(HCC)has a poor prognosis.According to the HCC management guidelines in China,the standard treatment of Barcelona Clinic Liver Cancer(BCLC)stage B or C HCC with portal vein tumour thrombosis(PVTT)is chemoembolization.However,some patients with BCLC stage B or C HCC with PVTT respond poorly to chemoembolization.We aimed to compare tumour responses and survival benefits between patients with unresectable HCC with or without PVTT.Methods We reviewed 119 consecutive patients with unresectable HCC with PVTT(n=67)and without PVTT(n=52)who underwent hepatic arterial infusion of oxaliplatin plus raltitrexed between January 2018 and April 2021.Overall survival,progression-free survival,tumour responses,and adverse events were compared between the groups.Results There were no significant between-group differences in the objective response rates and median progression-free survival.The median overall survival was significantly longer in the group without PVTT than in that with PVTT(17.0 vs 10.4 months,respectively;P=0.024).Conclusion Hepatic arterial infusion of oxaliplatin plus raltitrexed may be efficacious in patients with unresectable HCC with or without PVTT.

关 键 词：hepatic arterial infusion hepatocellular carcinoma OXALIPLATIN portal vein tumour thrombosis RALTITREXED 

分 类 号：R735.7[医药卫生—肿瘤]