Side effects and complication of stereotactic body radiation therapy for the treatment of residual hepatocellular carcinoma after chemoembolization

  • Đồng Đức Hoàng Trường Đại học Y Dược Thái Nguyên
  • Mai Hồng Bàng Bệnh viện Trung ương Quân đội 108
  • Thái Doãn Kỳ Bệnh viện Trung ương Quân đội 108
  • Nguyễn Tiến Thịnh Bệnh viện Trung ương Quân đội 108
  • Bùi Quang Biểu Bệnh viện Trung ương Quân đội 108
  • Nguyễn Đình Châu Bệnh viện Trung ương Quân đội 108

Main Article Content

Keywords

Hepatocellular carcinoma, stereotactic body radiation therapy, transarterial chemoembolization, complication

Abstract

Objective: To evaluate the safety of Stereotactic Body Radiation Therapy (SBRT) in the treatment of residual hepatocellular carcinoma after Transarterial Chemoembolization (TACE). Subject and method: This was prospective, controlled intervention study on 42 patients with hepatocellular carcinoma (HCC) treated with SBRT and 38 patients treated with TACE using DC Beads. Evaluation of complications after SBRT according to CTCAE V5.0. Result: Early side effects in group I patients were mainly fatigue (23.8%), group II mainly abdominal pain (47.4%), significant difference, p<0.05. Early complications in group I were acute hepatitis (4.8%), dermatitis (4.8%) which was not significantly different from group II (0%), p>0.05. Long-term complications in group I: Acute hepatitis (2.4%), pleural effusion (7.1%), dermatitis (2.4%) had no significant difference compared with group II: Acute hepatitis (0%), pleural effusion (2.6%), dermatitis (0%), p>0.05. There were no technique-related deaths in both groups. Conclusion: SBRT is a safe, uncomplicated treatment for patients with residual HCC after chemoembolization.

Article Details

References

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