Abstract | OBJECTIVE: MATERIALS AND METHODS: This article describes a retrospective study of 48 patients (age range, 37-77 years; mean age, 61.1 years; SD, 10.3) with liver metastases from neuroendocrine tumors who underwent repetitive selective hepatic artery chemotherapy using mitomycin C alone (group 1, n = 18 patients who underwent 182 therapeutic sessions; mean, 10.11 sessions per patient) and combined mitomycin C and gemcitabine chemotherapy agents (group 2, n = 30 patients who underwent 312 therapeutic sessions; mean, 10.4 sessions per patient) with 4-week intervals between treatment sessions. RESULTS: Both treatment protocols were well tolerated by all patients. Only minor side effects occurred in both groups, and no major complications developed. Local tumor control evaluation according to the Response Evaluation Criteria in Solid Tumors (RECIST) revealed the following for group 1: partial response, 11.1%; stable disease, 50%; and progressive disease, 38.9%. RECIST criteria for group 2 indicated partial response in 23.33%, stable disease in 53.34%, and progressive disease in 23.33%. The survival rate from the initial diagnosis to the fifth year for group 1 was 11.11% and for group 2, 46.67%. The median survival time from the initial diagnosis of group 1 was 38.67 months, whereas in group 2 it was 57.1 months. CONCLUSION:
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Authors | Thomas J Vogl, Tatjana Gruber, Nagy N N Naguib, Renate Hammerstingl, Nour-Eldin A Nour-Eldin |
Journal | AJR. American journal of roentgenology
(AJR Am J Roentgenol)
Vol. 193
Issue 4
Pg. 941-7
(Oct 2009)
ISSN: 1546-3141 [Electronic] United States |
PMID | 19770314
(Publication Type: Comparative Study, Journal Article)
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Chemical References |
- Antibiotics, Antineoplastic
- Antimetabolites, Antineoplastic
- Hemostatics
- Deoxycytidine
- Mitomycin
- Gemcitabine
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Topics |
- Adult
- Aged
- Antibiotics, Antineoplastic
(administration & dosage)
- Antimetabolites, Antineoplastic
(administration & dosage)
- Antineoplastic Combined Chemotherapy Protocols
(administration & dosage)
- Chemoembolization, Therapeutic
(methods)
- Deoxycytidine
(administration & dosage, analogs & derivatives)
- Female
- Hemostatics
(administration & dosage)
- Humans
- Liver Neoplasms
(diagnosis, drug therapy, secondary)
- Male
- Middle Aged
- Mitomycin
(administration & dosage)
- Neuroendocrine Tumors
(diagnosis, drug therapy, secondary)
- Retrospective Studies
- Treatment Outcome
- Gemcitabine
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