Short communication: the value of embolization therapy in painful osseous metastases from hepatocellular carcinomas; comparative study with radiation therapy

The British Journal of Radiology
R MurakamiM Takahashi

Abstract

We evaluated the therapeutic effect of transcatheter arterial embolization therapy (TAE) for painful osseous metastases from hepatocellular carcinoma (HCC) in comparison with radiation therapy (RT). TAE using gelatin sponge particles was performed for seven lesions in seven patients. Selective catheterization and embolization were successfully performed in all lesions. Within 10 days after TAE, complete pain relief (CR), partial relief (PR) and no relief (NR) were attained in 57%, 29% and 14%, respectively. RT was used to treat 34 lesions in 22 patients. The dose fractionation schedules were in the range 28.0-50.4 Gy, with 1.8-4.0 Gy per fraction. CR, PR and NR were attained in 47%, 47% and 6%, respectively. There were no serious complications related to these treatments. Both TAE and RT are effective and the treatment of choice should be selected on an individual basis.

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Citations

May 23, 2015·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·UNKNOWN Korean Liver Cancer Study Group (KLCSG), UNKNOWN National Cancer Center, Korea (NCC)
Nov 20, 1998·The American Journal of Gastroenterology·T KaizuT Kumazaki
Mar 23, 2005·Liver International : Official Journal of the International Association for the Study of the Liver·Jinsil SeongHee Chul Park
Sep 29, 2009·The Korean Journal of Hepatology·UNKNOWN Korean Liver Cancer Study Group and National Cancer Center, Korea
May 7, 2019·Gut and Liver·UNKNOWN Korean Liver Cancer Association, UNKNOWN National Cancer Center
Jul 5, 2019·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·UNKNOWN Korean Liver Cancer Association (KLCA), UNKNOWN National Cancer Center (NCC), Goyang, Korea
Dec 5, 2006·Japanese Journal of Clinical Oncology·Naoki NakamuraKeiichi Nakagawa
Nov 3, 2009·The Journal of Bone and Joint Surgery. British Volume·H S ChoH-S Kim
Feb 3, 2005·Journal of Gastroenterology and Hepatology·Yutaro KatoJun Koizumi

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