Combination of percutaneous radiofrequency ablation and systemic chemotherapy are effective treatment modalities for metachronous liver metastases from gastric cancer View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2014-01

AUTHORS

Jun-Eul Hwang, Seung-Hun Kim, Joon Jin, Ji-Yun Hong, Min-Jee Kim, Sung-Hoon Jung, Hyun-Jeong Shim, Woo-kyun Bae, Eu-Chang Hwang, Jin-Woong Kim, Sang-Soo Shin, Oh Jeong, Young Kyu Park, Sang-Hee Cho, Ik-Joo Chung

ABSTRACT

This study evaluated the efficacy of percutaneous radiofrequency ablation (RFA) for the treatment of metachronous liver metastases of gastric cancer. We enrolled a total of 44 patients who underwent percutaneous RFA for the treatment of metachronous liver metastases after resection of a primary gastric adenocarcinoma from January 2002 to November 2011. The primary endpoint of this study was overall survival (OS) and recurrence-free survival (RFS) after RFA. Systemic chemotherapy was combined with RFA in 40 patients; the OS and RFS of the patients with liver-only metastasis who underwent RFA and chemotherapy were 20.9 months (95% CI 18.4-23.4) and 9.8 months (95% CI 9.2-10.5), respectively. On multivariate analysis, the factors independently, negatively associated with OS were extrahepatic metastatic lesions (HR 12.6, 95% CI 3.7-42.9; p=0.001), no chemotherapy (HR 43.3, 95% CI 7.4-251.3; p=0.001), and tumor number≥2 (HR 2.6, 95% CI 1.2-5.9; p=0.015). The factors independently, negatively associated with RFS were extrahepatic metastatic lesions (HR 3.6, 95% CI 1.6-7.8; p=0.003) and bilobar intrahepatic distribution (HR 3.9, 95% CI 1.5-9.9; p=0.001). The efficacy of percutaneous RFA for metachronous liver metastases of gastric cancer is limited to patients with a single, unilobar metastasis without extrahepatic metastatic lesions. Combined systemic chemotherapy is very important for the prolongation of OS. More... »

PAGES

25-32

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10585-013-9606-5

DOI

http://dx.doi.org/10.1007/s10585-013-9606-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1028645892

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/23975154


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