Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2000-11-13
pubmed:abstractText
Most cases of cholangiocarcinoma have reached an unresectable stage by the time they are discovered despite significant progress of diagnostic modalities. Many of these patients with obstructive jaundice are often treated by biliary drainage using stents to relieve the jaundice. However, the stent patency period is as short as 3 to 9 months because of tumor ingrowth or overgrowth, and mean survival is at most 12 months. Therefore, both continuous relief of obstructive jaundice and local control of the tumor are required in the treatment for advanced cholangiocarcinoma. In this investigation, we developed a new percutaneous transhepatic biliary drainage tube coated with carboplatin (carboplatin-coated tube; CCT). CCT continuously released a fixed amount of carboplatin for 4 weeks and showed an antitumor effect on human cholangiocarcinoma cell line HuCC-T1 in vitro. When CCT was embedded in subcutaneous tumor inoculated in nude mice, a significant reduction of tumor size with no apparent damage to normal adjacent tissue was observed. On the basis of these studies, 5 patients with inoperable cholangiocarcinoma were treated with CCT for 4 weeks. Overall efficacy rate of 5 patients with cholangiocarcinoma was 60% (partial response in 3 and no change in 2). No apparent side effect was observed in these patients. Thus, CCT may provide a new treatment modality for this disease. Randomized controlled trials comparing CCT therapy with palliative stenting are required to confirm these results.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0270-9139
pubmed:author
pubmed:issnType
Print
pubmed:volume
32
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
916-23
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:11050039-Aged, pubmed-meshheading:11050039-Aged, 80 and over, pubmed-meshheading:11050039-Animals, pubmed-meshheading:11050039-Antineoplastic Agents, pubmed-meshheading:11050039-Bile Duct Neoplasms, pubmed-meshheading:11050039-Bile Ducts, Intrahepatic, pubmed-meshheading:11050039-Carboplatin, pubmed-meshheading:11050039-Cholangiocarcinoma, pubmed-meshheading:11050039-Coated Materials, Biocompatible, pubmed-meshheading:11050039-Delayed-Action Preparations, pubmed-meshheading:11050039-Equipment Design, pubmed-meshheading:11050039-Female, pubmed-meshheading:11050039-Humans, pubmed-meshheading:11050039-Male, pubmed-meshheading:11050039-Mice, pubmed-meshheading:11050039-Mice, Nude, pubmed-meshheading:11050039-Middle Aged, pubmed-meshheading:11050039-Neoplasm Transplantation, pubmed-meshheading:11050039-Stents, pubmed-meshheading:11050039-Tumor Cells, Cultured
pubmed:year
2000
pubmed:articleTitle
A study of carboplatin-coated tube for the unresectable cholangiocarcinoma.
pubmed:affiliation
Fourth Department of Internal Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan.
pubmed:publicationType
Journal Article, Clinical Trial