[Transcatheter arterial chemoembolization in liver metastases of colorectal cancer (lipiodol cisplatin sandwich therapy]

Gan To Kagaku Ryoho. 1988 Aug;15(8 Pt 2):2510-3.
[Article in Japanese]

Abstract

The transcatheter arterial chemoembolization (LPD-CDDP Sandwich Therapy) developed by us was applied to 15 patients with unresectable liver metastases (H2-H3) of colorectal cancer. Computed tomography or ultra-sonography revealed an overall response rate of 27%. Serum CEA values decreased to lower than the pre-TACE value in 11 (78%) of 14 patients excluding one showing the normal range before TACE. The post-TACE CEA values were completely normalized in 2 of the 11 patients. One-year cumulative survival rate was 72% and median survival was 18 months, showing a prolongation compared with intraarterial or systemic chemo-immunotherapy. The histological antitumor effect of LPD-CDDP Sandwich Therapy was examined in the hepatic specimens from 6 patients who underwent hepatectomy after this therapy for liver metastases (H1-H2) of colo-rectal cancer. The necrotic area in the main tumor was 95-100% in 3 patients, 75-94% in 2 patients and 50-74% in one patient. LPD-CDDP sandwich therapy was considered an effective treatment without any serious side effects for liver metastases of colo-rectal cancer.

Publication types

  • English Abstract

MeSH terms

  • Cisplatin / administration & dosage*
  • Cisplatin / therapeutic use
  • Colonic Neoplasms*
  • Embolization, Therapeutic* / methods
  • Evaluation Studies as Topic
  • Humans
  • Iodized Oil / administration & dosage*
  • Iodized Oil / therapeutic use
  • Liver Neoplasms / mortality
  • Liver Neoplasms / secondary
  • Liver Neoplasms / therapy*
  • Rectal Neoplasms*
  • Remission Induction

Substances

  • Iodized Oil
  • Cisplatin