Early results of stereotactic body radiation therapy for the treatment of residual hepatocellular carcinoma after chemoembolization
Main Article Content
Keywords
Abstract
Objective: To evaluate early results of stereotactic body radiation therapy (SBRT) compared with repeated transarterial chemoembolization (TACE) in the treatment of residual hepatocellular carcinoma after chemoembolization. Subject and method: A prospective, controlled intervention study on 42 patients with hepatocellular carcinoma (HCC) treated with SBRT and 38 patients treated with TACE using DC Beads. Assessing clinical, laboratory, AFP, tumor response (according to mRECIST) at 3, 6 months after treatment. Result: The clinical response in group I (61.9%) was different from that in group II (23.7%), p<0.05. AFP response in group I (56.5%) tended to be higher than in group II (42.9%), p>0.05. Tumor response at 6 months in group I (complete response 51.4%, partial response 8.1%) was different from that in group II (21.9% and 3.1%), p<0.05. Conclusion: SBRT for clinical response and tumor response rates was different compared with repeat TACE for residual HCC patients after TACE.
Article Details
References
2. Schaub SK, Hartvigson PE, Lock MI et al (2018) Stereotactic body radiation therapy for hepatocellular carcinoma: Current trends and controversies. Technol Cancer Res Treat 17: 1533033818790217.
3. Marrero JA, Kulik LM, Sirlin CB et al (2018) Diagnosis, staging, and management of hepatocellular carcinoma: 2018 practice guidance by the American association for the study of liver diseases. Hepatology 68(2): 723-750.
4. Lencioni R, Llovet JM (2010) Modified RECIST (mRECIST) assessment for hepatocellular carcinoma. Semin Liver Dis 30(1): 52-60.
5. Muscari F, Maulat C (2020) Preoperative alpha-fetoprotein (AFP) in hepatocellular carcinoma (HCC): Is this 50-year biomarker still up-to-date? Transl Gastroenterol Hepatol 5: 46.
6. Toro A, Ardiri A, Mannino M et al (2014) Effect of pre- and post-treatment alpha-fetoprotein levels and tumor size on survival of patients with hepatocellular carcinoma treated by resection, transarterial chemoembolization or radiofrequency ablation: A retrospective study. BMC Surg 14: 40.
7. Zhu AX, Finn RS, Kang YK et al (2021) Serum alpha-fetoprotein and clinical outcomes in patients with advanced hepatocellular carcinoma treated with ramucirumab. Br J Cancer 124(8): 1388-1397.
8. Yu JI, Yoo GS, Cho S et al (2018) Initial clinical outcomes of proton beam radiotherapy for hepatocellular carcinoma. Radiat Oncol J 36(1): 25-34.