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Systemic chemotherapy for hepatocellular carcinoma in non-cirrhotic liver:A retrospective study

World Journal of Gastroenterology 2009年第6期15卷 713-716页

作者： Julien Edeline Jean-Luc Raoul elodie vauleon Anne Guillygomac'h Karim Boud jema Eveline Boucher Department of Medical Oncology Centre Eugène Marquis CS 4422935042 Rennes cedexFrance European University in Brittany 35042 Rennes cedexFrance Department of Liver Disease Pontchaillou University Hospital35033 Rennes cedexFrance Department of Liver Surgery and Transplantation Pontchaillou University Hospital35033 Rennes cedexFrance

AIM:To investigate the efficacy and toxicity of systemic chemotherapy in a retrospective study of patients with hepatocellular carcinoma(HCC)occurring in normal or fibrotic liver without cirrhosis. METHODS:Twenty-four patients with metastatic or locally advanced HCC in a normal or a fibrotic liver were given systemic chemotherapy(epirubicin,cis- platin and 5-fluorouracil or epirubicin,cisplatin and capecitabine regimens).Tumor response,time to pro- gression,survival,and toxicity were evaluated. RESULTS:There were 7 women and 17 men,mean age 54±10 years;18 patients had a normal liver and 6 had a fibrotic liver(F1/F2 on biopsy).Mean tumor size was 14 cm,5 patients had portal vein thrombosis and 7 had *** received a median of 4 chemotherapy *** tolerance was good. There were 5 partial responses(objective response rate =22%),and tumor control rate was 52%.Second line surgical resection was possible in two *** survival was 11 mo,and 1-and 2-year overall survival rates were 50%±10%and 32%±11%,respectively. CONCLUSION:In patients with HCC in a non-cirrhotic liver,chemotherapy was well tolerated and associated with an objective response rate of 22%,including two patients who underwent secondary surgical resection.

关键词： Antineoplastic protocols Chemotherapy Hepatocellular carcinoma

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