Extensive Use of Interventional Therapies Improves Survival in Unresectable or Recurrent Intrahepatic Cholangiocarcinoma
Joint Authors
Schütte, Kerstin
Seidensticker, Ricarda
Seidensticker, Max
Doegen, Kathleen
Mohnike, Konrad
Stübs, Patrick
Kettner, Erika
Pech, Maciej
Amthauer, Holger
Ricke, Jens
Source
Gastroenterology Research and Practice
Issue
Vol. 2016, Issue 2016 (31 Dec. 2015), pp.1-13, 13 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-02-04
Country of Publication
Egypt
No. of Pages
13
Main Subjects
Abstract EN
Aim.
To assess the outcomes of patients with unresectable intrahepatic cholangiocellular carcinoma (ICC) treated by a tailored therapeutic approach, combining systemic with advanced image-guided local or locoregional therapies.
Materials and Methods.
Treatment followed an algorithm established by a multidisciplinary GI-tumor team.
Treatment options comprised ablation (RFA, CT-guided brachytherapy) or locoregional techniques (TACE, radioembolization, i.a.
chemotherapy).
Results.
Median survival was 33.1 months from time of diagnosis and 16.0 months from first therapy.
UICC stage analysis showed a median survival of 15.9 months for stage I, 9 months for IIIa, 18.4 months for IIIc, and 13 months for IV.
Only the number of lesions, baseline serum CEA and serum CA19-9, and objective response (RECIST) were independently associated with survival.
Extrahepatic metastases had no influence.
Conclusion.
Patients with unresectable ICC may benefit from hepatic tumor control provided by local or locoregional therapies.
Future prospective study formats should focus on supplementing systemic therapy by classes of interventions (“toolbox”) rather than specific techniques, that is, local ablation leading to complete tumor destruction (such as RFA) or locoregional treatment leading to partial remission (such as radioembolization).
This trial is registered with German Clinical Trials Registry (Deutsche Register Klinischer Studien), DRKS-ID: DRKS00006237.
American Psychological Association (APA)
Seidensticker, Ricarda& Seidensticker, Max& Doegen, Kathleen& Mohnike, Konrad& Schütte, Kerstin& Stübs, Patrick…[et al.]. 2016. Extensive Use of Interventional Therapies Improves Survival in Unresectable or Recurrent Intrahepatic Cholangiocarcinoma. Gastroenterology Research and Practice،Vol. 2016, no. 2016, pp.1-13.
https://search.emarefa.net/detail/BIM-1104819
Modern Language Association (MLA)
Seidensticker, Ricarda…[et al.]. Extensive Use of Interventional Therapies Improves Survival in Unresectable or Recurrent Intrahepatic Cholangiocarcinoma. Gastroenterology Research and Practice Vol. 2016, no. 2016 (2015), pp.1-13.
https://search.emarefa.net/detail/BIM-1104819
American Medical Association (AMA)
Seidensticker, Ricarda& Seidensticker, Max& Doegen, Kathleen& Mohnike, Konrad& Schütte, Kerstin& Stübs, Patrick…[et al.]. Extensive Use of Interventional Therapies Improves Survival in Unresectable or Recurrent Intrahepatic Cholangiocarcinoma. Gastroenterology Research and Practice. 2016. Vol. 2016, no. 2016, pp.1-13.
https://search.emarefa.net/detail/BIM-1104819
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1104819