J 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

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

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.