Source:http://linkedlifedata.com/resource/pubmed/id/12065870
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2002-6-14
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pubmed:abstractText |
Zinostatin stimalamer (SMANCS) is a lipophilic intra-arterial chemotherapeutic agent for hepatocellular carcinoma (HCC). In our previous study, transcatheter arterial infusion chemotherapy using SMANCS for HCC showed a response rate of 20%. In an effort to obtain a superior anti-tumor effect against HCC, we conducted a phase II study of transcatheter arterial embolization (TAE) using SMANCS and gelatin sponge in 50 chemotherapy-naive patients with HCC. Four milligrams SMANCS plus 4 ml lipiodol emulsion was injected into the hepatic artery, followed by an injection of gelatin sponge. The responses were evaluated by computed tomography (CT) 1 month after treatment and thereafter every 3-4 months. One patient (2%) showed complete response and 15 patients (30%) had partial response resulting in an overall response rate of 32% (16/50; 95% confidence interval 19-45%). In 33 patients (66%), the disease remained stable, and 1 patient (2%) showed progressive disease. In 35 patients (70%), the rate of necrotic area to whole tumor was more than 50% according to the evaluation method using lipiodol accumulation in CT. The 1-, 3- and 5-year survival rates were 90, 55 and 19%, respectively. Grade 3 hematological toxicity was observed as thrombocytopenia in 2 patients (4%). Grade 3 and 4 non-hematological toxicity (liver dysfunction) occurred in 17 (34%) and 7 patients (14%), respectively. TAE using SMANCS, which was well tolerated, may be an effective treatment for advanced HCC.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Antineoplastic Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Maleic Anhydrides,
http://linkedlifedata.com/resource/pubmed/chemical/Polystyrenes,
http://linkedlifedata.com/resource/pubmed/chemical/Zinostatin,
http://linkedlifedata.com/resource/pubmed/chemical/poly(maleic...
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pubmed:status |
MEDLINE
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pubmed:issn |
0030-2414
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pubmed:author | |
pubmed:copyrightInfo |
Copyright 2002 S. Karger AG, Basel
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pubmed:issnType |
Print
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pubmed:volume |
62
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
228-33
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:12065870-Adult,
pubmed-meshheading:12065870-Aged,
pubmed-meshheading:12065870-Antineoplastic Agents,
pubmed-meshheading:12065870-Carcinoma, Hepatocellular,
pubmed-meshheading:12065870-Chemoembolization, Therapeutic,
pubmed-meshheading:12065870-Female,
pubmed-meshheading:12065870-Humans,
pubmed-meshheading:12065870-Liver Neoplasms,
pubmed-meshheading:12065870-Male,
pubmed-meshheading:12065870-Maleic Anhydrides,
pubmed-meshheading:12065870-Middle Aged,
pubmed-meshheading:12065870-Polystyrenes,
pubmed-meshheading:12065870-Survival Rate,
pubmed-meshheading:12065870-Treatment Outcome,
pubmed-meshheading:12065870-Zinostatin
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pubmed:year |
2002
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pubmed:articleTitle |
Transcatheter arterial embolization with zinostatin stimalamer for hepatocellular carcinoma.
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pubmed:affiliation |
Hepatobiliary and Pancreatic Oncology Division, National Cancer Center Hospital, Tokyo, Japan. tokusaka@ncc.go.jp
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, Non-U.S. Gov't,
Clinical Trial, Phase II
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