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ORIGINAL ARTICLE
Year : 2019  |  Volume : 24  |  Issue : 1  |  Page : 92

Conversion to resectability using transcatheter arterial chemoembolization alternating with mFOLFOX6 in patients with colorectal liver metastases


1 Department of Laboratory, Cancer Institute, The Affiliated Hospital of Qingdao University; Department of Laboratory, Qingdao Cancer Institute, Qingdao; Department of Oncology, Weifang Traditional Chinese Medicine Hospital, Weifang, People's Republic of China
2 Department of Intervention, Weifang Traditional Chinese Medicine Hospital, Weifang, People's Republic of China
3 Department of Intervention, The Affiliated Weihai Second Municipal Hospital of Qingdao University, Weihai, Shandong, People's Republic of China
4 Department of Oncology, Weifang Traditional Chinese Medicine Hospital, Weifang, People's Republic of China

Correspondence Address:
Dr. Jing Yan Zhu
Department of Oncology, Weifang Traditional Chinese Medicine Hospital, 666 Weizhou Road, Weifang, Shandong Province 261041
People's Republic of China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jrms.JRMS_879_16

Clinical trial registration IRCT201701172709N43

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Background: Colorectal cancer is one of the most common malignancies in the world, and about 25% of colorectal cancer patients present with colorectal cancer liver metastases (CRCLM) even at new diagnosis. The study was to evaluate the safety and efficacy of transcatheter arterial chemoembolization (TACE) alternating with mFOLFOX6 in Chinese patients with unresectable CRCLM. Materials and Methods: In this study, by combining the systemic and regional treatment, the resectability rate, overall survival, and progression-free survival were measured with addition of TACE. Included patients had Eastern Cooperative Oncology Group performance status 0–2. Sixty-two patients received mFOLFOX6 plus one TACE after 2 weeks of chemotherapy; after 2 weeks, the next periodical treatment repeated. Patients received operation when the liver metastases were converted to resectability or severe tumor-associated complications occurred. Results: We found that 28 patients (45.2%) patients received operation after the treatment of TACE combined with systemic chemotherapy. The median time from initial treatment to the operation was 6 months. The median follow-up period was 41 months in all the patients. The 3-year survival rate of resected patients and unresected patients was 54% and 17%, respectively. Post-TACE syndrome was the major adverse reaction (81%). Other adverse reactions were neutropenia, nausea, and neurotoxicity. No patient died of the adverse reactions. The resection rate was related to hepatic segments and vasculature involvement. Conclusion: Taken together, TACE alternating with mFOLFOX6 has been proved to be safe and effective for CRCLM treatment to improve resection rate and prolong the survival time.


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