Colorectal Liver Metastases Growth in the Embolized and Non-Embolized Liver After Portal Vein Embolization: Influence of Initial Response to Induction ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-09

AUTHORS

Romain Pommier, Maxime Ronot, François Cauchy, Sébastien Gaujoux, David Fuks, Sandrine Faivre, Jacques Belghiti, Valérie Vilgrain

ABSTRACT

PURPOSE: To compare tumor progression in both embolized and non-embolized liver lobes after portal vein embolization (PVE) in patients with bilobar colorectal liver metastases (CLM), according to the initial response to induction chemotherapy. METHODS: From 2002 to 2012, a total of 42 consecutive patients with bilobar CLM initially treated using induction chemotherapy underwent right PVE to achieve adequate future liver remnant volume. Tumoral and liver parenchyma volumes, as well as their volume variations, were measured on computed tomography before and after PVE in both embolized and non-embolized. Patients were classified as fast (≤6 cycles of induction chemotherapy) and slow (>6 cycles) responders. RESULTS: Overall, 432 metastases were analyzed in 42 patients. Patients were slow responders in 29 (69 %) cases. Tumoral volume increased in 29 (69 %) cases in the embolized liver (+48 %; p < 0.0001), and in 28 (66 %) cases in the non-embolized liver (+31 %; p < 0.0001). Fast responders had a tumoral volume decrease in both embolized (-4 %) and non-embolized (-9 %) lobes. On the opposite side, slow responders had tumoral volume increase in both embolized (+79 %) and non-embolized (+32 %) lobes. On multivariate analysis, a 'slow' response to induction chemotherapy was the only factor associated with tumoral progression in both embolized (p = 0.0012) and non-embolized (p = 0.001) lobes. CONCLUSION: Tumor growth after PVE is observed in both embolized and non-embolized liver lobes in most patients but is significantly associated with slow response to induction chemotherapy. More... »

PAGES

3077-3083

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1245/s10434-014-3700-z

DOI

http://dx.doi.org/10.1245/s10434-014-3700-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1012464169

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/24743912


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291 https://www.grid.ac/institutes/grid.462374.0 schema:alternateName Center for Research on Inflammation
292 schema:name Department of Radiology, Beaujon Hospital (AP-HP), Beaujon University Hospitals Paris Nord Val de Seine, Clichy, Hauts-de-Seine, France
293 INSERM U1149, Centre de Recherche Biomédicale Bichat-Beaujon, Paris, France
294 Sorbonne Paris Cité, University Paris Diderot, Paris, France
295 rdf:type schema:Organization
 




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