Transacatheter arterial embolization for malignant osseous and soft tissue sarcomas. II. Clinical results View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1998-05

AUTHORS

Yasushi Nagata, Michihide Mitsumori, Kaoru Okajima, Takashi Mizowaki, Kazuhisa Fujiwara, Keisuke Sasai, Yasumasa Nishimura, Masahiro Hiraoka, Mitsuyuki Abe, Katsuji Shimizu, Yoshihiko Kotoura

ABSTRACT

Purpose: To evaluate the clinical effects of transcatheter arterial embolization (TAE) on malignant bone and soft tissue tumors.Methods: TAE was performed in 10 patients with primary bone and soft tissue sarcomas and in 31 patients with metastatic bone tumors. The embolized arteries were the internal iliac artery in 30 cases, the intercostal artery in six cases, the lumbar artery in five cases, the suprascapular artery in three cases, and the iliolumbar artery, the internal pudendal artery, and the lateral sacral artery in one case each. The embolized material was gelatin sponge particles. The chemotherapeutic drugs were usually 20–40 mg of doxorubicin for primary and metastatic tumors and 50–100 mg of cisplatin only for primary tumors. In addition, 50–60 Gy of 10-MV radiotherapy with or without radiofrequency (RF)-capacitive hyperthermia in four sessions was administered before TAE for primary tumors only.Results: Even though the pain score increased immediately after TAE, 30 of 38 (79%) patients with pain (8 of 9 with primary tumors, and 22 of 29 with metastases) achieved pain control after TAE. A necrotic low-density area shown by computed tomography (CT) after TAE was found in 31 of 41 (76%) tumors [8 of 10 (80%) with primary tumors, and 23 of 31 (74%) with metastatic tumors]. The tumor size decreased in 14 of 25 (56%) primary and metastatic tumors after 3 months. Osteosclerotic changes appeared in two cases of metastatic tumors after 6 months. In five tumors resected after TAE, large areas of necrosis within the tumor were confirmed histologically. Transient local pain and numbness appeared after TAE, but were relieved by drug treatment within 1 week. No severe complications except a case of gluteal muscle necrosis were encountered after TAE. The 1-year survival rate of the patients with primary tumors was 38.1%, and the median survival was 18 months. The longest survival was 84 months. The 1-year survival rate of the patients with metastatic bone tumors was 38.9%; the median survival was 12 months. The longest survival was 24 months.Conclusion: TAE could be an effective treatment for pain control and local control of malignant bone and soft-tissue tumors. More... »

PAGES

208

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s002709900246

DOI

http://dx.doi.org/10.1007/s002709900246

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1004943415

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/9626436


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40 bone tumors
41 cases
42 changes
43 chemotherapeutic drugs
44 cisplatin
45 clinical effects
46 clinical results
47 complications
48 computed tomography
49 control
50 doxorubicin
51 drug treatment
52 drugs
53 effect
54 effective treatment
55 embolization
56 gelatin sponge particles
57 gluteal muscle necrosis
58 hyperthermia
59 iliac artery
60 iliolumbar artery
61 intercostal arteries
62 internal iliac artery
63 internal pudendal artery
64 large areas
65 lateral sacral artery
66 local control
67 local pain
68 longer survival
69 low-density areas
70 lumbar arteries
71 malignant bone
72 materials
73 median survival
74 metastatic bone tumors
75 metastatic tumors
76 months
77 muscle necrosis
78 necrosis
79 numbness
80 osteosclerotic changes
81 pain
82 pain control
83 pain scores
84 particles
85 patients
86 primary bone
87 primary tumor
88 pudendal artery
89 radiofrequency
90 radiotherapy
91 rate
92 results
93 sacral artery
94 sarcoma
95 scores
96 sessions
97 severe complications
98 size
99 soft tissue sarcomas
100 soft tissue tumors
101 sponge particles
102 suprascapular artery
103 survival
104 survival rate
105 tissue sarcomas
106 tissue tumors
107 tomography
108 transcatheter arterial embolization
109 transient local pain
110 treatment
111 tumor size
112 tumors
113 weeks
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