1. Safety and Efficacy of Arterially Directed Liver Therapies in the Treatment of Hepatic Metastatic Ovarian Cancer: A Retrospective Single-Institution Study.
- Author
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Lacayo EA, Velayati S, Elsakka A, Brody L, Erinjeri JP, Ziv E, Boas FE, Sofocleous CT, Silk M, Makker V, Tew WP, and Yarmohammadi H
- Subjects
- Acrylic Resins adverse effects, Adult, Aged, Disease Progression, Female, Gelatin adverse effects, Humans, Liver Neoplasms mortality, Liver Neoplasms secondary, Middle Aged, New York City, Ovarian Neoplasms mortality, Ovarian Neoplasms pathology, Particle Size, Progression-Free Survival, Radiopharmaceuticals adverse effects, Retrospective Studies, Time Factors, Acrylic Resins administration & dosage, Embolization, Therapeutic adverse effects, Embolization, Therapeutic mortality, Gelatin administration & dosage, Hepatic Artery, Liver Neoplasms therapy, Ovarian Neoplasms therapy, Radiopharmaceuticals administration & dosage
- Abstract
Purpose: To evaluate the safety and efficacy of 2 locoregional therapies (LRTs) including hepatic artery embolization (HAE) and transarterial radioembolization (TARE) in the treatment of patients with metastatic ovarian cancer to the liver., Material and Methods: From October 2010 to May 2019, the data of 15 consecutive patients (median age, 54 years ± 9.8; range, 35-78 years) with hepatic metastatic ovarian cancer who were treated with either HAE (n = 6; 40%) or TARE (n = 9; 60%) were reviewed. The most common histopathologic type was epithelial ovarian carcinoma (80%). The most common chemotherapy regimens used prior to embolization included carboplatin, paclitaxel, cisplatin, and bevacizumab. Patients received a mean of 4 lines ± 3 (range, 1-9) of chemotherapy. All patients with serous carcinoma were resistant to platinum at the time of embolization. Indications for embolization were progression of disease to the liver while receiving chemotherapy in 14 (93.3%) patients and palliative pain control in 1 patient., Results: The overall response rates at 1, 3, and 6 months were 92.4%, 85.6%, and 70%, respectively. Median overall survival from the time of LRT was 9 (95% confidence interval [CI], 4-14) months. Median local tumor progression was 6.4 months ± 5.03 (95% CI, 3.3-9.5). No grade 3-5 adverse events were detected in either group., Conclusions: HAE and TARE were well tolerated in patients with metastatic ovarian cancer to the liver and possibly ensured prolonged disease control in heavily treated, predominantly in patients resistant to platinum. Larger numbers are needed to verify these data., (Copyright © 2021 SIR. Published by Elsevier Inc. All rights reserved.)
- Published
- 2021
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