[Evaluation of CTA for arterial infusion chemotherapy for liver metastasis from colorectal cancer]

Gan To Kagaku Ryoho. 1997 Sep;24(12):1749-52.
[Article in Japanese]

Abstract

To compare between the arterial blood supply of metastatic liver tumor and effects of intrahepatic arterial infusion chemotherapy (IHAC), we examined 8 patients with 27 liver metastasis from colorectal cancer. They were treated with ADM/lipiodol/5-FU/LV (19 nodules) or 5-FU/LV (8 nodules). To evaluate the arterial blood supply, CT arteriography (CTA) was performed, which classified tumors into 3 grades. Grade (Gr) 0; almost no enhancement, Gr1: less than one-third of tumor, Gr 2; less than two-thirds; Gr 3 over two-thirds (no case). As a result, 3 of NCs and 3 of PDs were Gr 0, 7 of MRs, 3 of NCs and 2 of PDs were Gr 1, and CR, PR and 7 of MRs were Gr 2. These results suggest that the arterial blood supply is necessary for a better response of IHAC and CTA is effective to forecast the response to IHAC.

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage*
  • Colorectal Neoplasms / pathology*
  • Doxorubicin / administration & dosage
  • Fluorouracil / administration & dosage
  • Hepatic Artery / diagnostic imaging
  • Humans
  • Infusion Pumps, Implantable
  • Infusions, Intra-Arterial
  • Iodized Oil / administration & dosage
  • Leucovorin / administration & dosage
  • Liver Neoplasms / diagnostic imaging*
  • Liver Neoplasms / drug therapy*
  • Liver Neoplasms / secondary
  • Tomography, X-Ray Computed / methods*

Substances

  • Iodized Oil
  • Doxorubicin
  • Leucovorin
  • Fluorouracil