[Preventive effects of intra-arterial infusion chemotherapy of liver metastasis in non-resectable pancreatic cancer]

Gan To Kagaku Ryoho. 1989 Aug;16(8 Pt 2):2863-6.
[Article in Japanese]

Abstract

This is a study which evaluates intra-arterial chemotherapy for non-resectable carcinoma of the pancreas without liver metastasis (locally advanced). Twenty-one patients received ia-chemotherapy (MA-CP: Methotrexate + Angiotensin II----Citrovorum factor + Prostaglandin E1). They showed a 39% 1-year survival rate and 92% of 1-year cumulative rate of survival without liver metastasis. These incidences were significantly higher than those of (13%, 50%) 52 patients who underwent systemic chemotherapy (control). As the reason for such significant differences, we suspected that a high dose of chemotherapeutic view after MTX had been infused into the pancreatic-supplying arteries. This speculation was confirmed by the serial determination of the MTX concentration in the portal blood.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Alprostadil / administration & dosage
  • Angiotensin II / administration & dosage
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage*
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Humans
  • Infusions, Intra-Arterial
  • Leucovorin / administration & dosage
  • Liver Neoplasms / prevention & control
  • Liver Neoplasms / secondary*
  • Male
  • Methotrexate / administration & dosage
  • Methotrexate / blood
  • Middle Aged
  • Mitomycin
  • Mitomycins / administration & dosage
  • Mitomycins / blood
  • Pancreatic Neoplasms / drug therapy*
  • Pancreatic Neoplasms / mortality
  • Pancreatic Neoplasms / pathology
  • Portal Vein

Substances

  • Mitomycins
  • Angiotensin II
  • Mitomycin
  • Alprostadil
  • Leucovorin
  • Methotrexate