2010
Multimodal Oncological Therapy Comprising Stents, Brachytherapy and Regional Chemotherapy for Cholangiocarcinoma
ANDRAŠINA, Tomáš; Vlastimil VÁLEK; Jiří PÁNEK; Zdeněk KALA; Igor KISS et al.Základní údaje
Originální název
Multimodal Oncological Therapy Comprising Stents, Brachytherapy and Regional Chemotherapy for Cholangiocarcinoma
Autoři
Vydání
Gut and Liver, 2010, 1976-2283
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30000 3. Medical and Health Sciences
Stát vydavatele
Česká republika
Utajení
není předmětem státního či obchodního tajemství
Impakt faktor
Impact factor: 0.219
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/10:00051433
Organizační jednotka
Lékařská fakulta
UT WoS
Klíčová slova anglicky
Cholangiocarcinoma; Brachytherapy; Infusions; Intra-arterial; Stents
Příznaky
Mezinárodní význam
Změněno: 20. 4. 2012 14:58, Mgr. Michal Petr
Anotace
V originále
BACKGROUND/AIMS: To prospectively evaluate our palliative management of unresectable cholangiocarcinoma (CC) treated with tailored multimodal oncological therapy. In total, 78 metal self-expandable stents were placed. Hilar involvement with mass-forming and periductal infiltrating types of CC (84%) was predominant. The average number of percutaneous interventional procedures was 11.61 per patient (range, 4-35). The median overall survival from diagnosis of disease for all patients was 13.5 months . The median overall survival times were 25.2 months and 11.5 months in the IA and IV arms, respectively (p<0.05). The 1-, 2-, and 3-year survival rates in the IA and IV arms were 88.2%, 52.9%, and 10.1% and 43.5%, 25.4, and 0%, respectively.CONCLUSIONS: We could reach acceptable prognosis in patients with unresectable CC using complex tailored oncological therapy. However, the main limitations of prolonging survival are performance status, patient compliance and the maintaining of biliary tract patency.