PMID- 2472878 OWN - NLM STAT- MEDLINE DCOM- 19890825 LR - 20161123 IS - 0008-5472 (Print) IS - 0008-5472 (Linking) VI - 49 IP - 15 DP - 1989 Aug 1 TI - Transcatheter arterial chemoembolization therapy for hepatocellular carcinoma using polylactic acid microspheres containing aclarubicin hydrochloride. PG - 4357-62 AB - Transcatheter arterial chemoembolization therapy using polylactic acid microspheres containing aclarubicin hydrochloride (ACR) was performed in 62 patients with primary hepatocellular carcinoma. These microspheres were about 200 microns in diameter and contained 10% (w/w) aclarubicin. A single dose of polylactic acid microspheres containing ACR (50-100 mg of ACR) was administered 1 to 8 times with a mean of 2.2 doses (a total of 160 treatments) in 62 patients. Antitumor effects were observed from the decrease in serum alpha-fetoprotein levels (82.1% of the patients) and in two dimensional size of tumor on computed tomography (93.6%). The cumulative survival rate was 54.3% at 1 year, 24.6% at 2 years, and 19.2% at 3 years, respectively, among 59 patients with unresectable tumors. In 3 resected liver specimens, there was a significant accumulation of ACR in the tumor, and severe necroses of the tumors were observed histologically. Systemic toxicity was mild and all patients tolerated this treatment. These results suggest that transcatheter arterial chemoembolization with the use of polylactic acid microspheres containing ACR is a useful tumor-targeting chemotherapy and is effective in the treatment of hepatocellular carcinoma. FAU - Ichihara, T AU - Ichihara T AD - Department of Surgery II, Kumamoto University Medical School, Japan. FAU - Sakamoto, K AU - Sakamoto K FAU - Mori, K AU - Mori K FAU - Akagi, M AU - Akagi M LA - eng PT - Journal Article PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R RN - 0 (Lactates) RN - 0 (Polyesters) RN - 0 (Polymers) RN - 0 (alpha-Fetoproteins) RN - 33X04XA5AT (Lactic Acid) RN - 459TN2L5F5 (poly(lactide)) RN - 74KXF8I502 (Aclarubicin) SB - IM MH - Aclarubicin/*administration & dosage/therapeutic use MH - Adult MH - Aged MH - Animals MH - Carcinoma, Hepatocellular/*drug therapy/mortality/pathology MH - Dogs MH - Embolization, Therapeutic MH - Female MH - Humans MH - Infusions, Intra-Arterial MH - Lactates/*administration & dosage MH - *Lactic Acid MH - Liver Neoplasms/*drug therapy/mortality/pathology MH - Male MH - Microspheres MH - Middle Aged MH - Polyesters MH - Polymers/*administration & dosage MH - alpha-Fetoproteins/analysis EDAT- 1989/08/01 00:00 MHDA- 1989/08/01 00:01 CRDT- 1989/08/01 00:00 PHST- 1989/08/01 00:00 [pubmed] PHST- 1989/08/01 00:01 [medline] PHST- 1989/08/01 00:00 [entrez] PST - ppublish SO - Cancer Res. 1989 Aug 1;49(15):4357-62.