PMID- 26171209 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2049-9450 (Print) IS - 2049-9469 (Electronic) IS - 2049-9450 (Linking) VI - 3 IP - 4 DP - 2015 Jul TI - Efficacy and adverse events of transcatheter arterial chemoembolization in combination with sorafenib in the treatment of unresectable hepatocellular carcinoma. PG - 929-935 AB - The aim of the present study was to assess the association between the efficacy and adverse events (AEs) of transcatheter arterial chemoembolization (TACE) combined with sorafenib in patients with unresectable hepatocellular carcinoma (HCC). Between July 2008 and May 2011, 50 patients with unresectable HCC were enrolled and assigned to receive TACE combined with sorafenib in the present study. The primary outcomes were considered as time to disease progression (TTP) and sorafenib-related AEs. In the present study, 34 of 50 patients had disease progression with a median TTP (mTTP) of 210 days. The most common AEs included hand-foot skin reaction (HFSR), fatigue, diarrhea and hypertension. The mTTP of patients with HFSR extended 140 days compared to that of the patients without HFSR. Kaplan-Meier analysis was used for mTTP between the two groups of patients. This difference was statistically significant when analyzed by the univariate COX proportional hazards regression model. In conclusion, TACE in combination with sorafenib had an acceptable safety profile in the treatment of unresectable HCC. Additionally, it also revealed that HFSR served as a good prognostic predictor in using combination therapy. Therefore, discontinuation of sorafenib treatment should be prevented to avoid disease progression. FAU - Yao, Xuesong AU - Yao X AD - Department of Diagnostic Radiology, Cancer Hospital, Chinese Academy of Medical Science, Peking Union Medical College, Beijing 100005, P.R. China. FAU - Yan, Dong AU - Yan D AD - Department of Diagnostic Radiology, Cancer Hospital, Chinese Academy of Medical Science, Peking Union Medical College, Beijing 100005, P.R. China. FAU - Liu, Dezhong AU - Liu D AD - Department of Diagnostic Radiology, Cancer Hospital, Chinese Academy of Medical Science, Peking Union Medical College, Beijing 100005, P.R. China. FAU - Zeng, Huiying AU - Zeng H AD - Department of Diagnostic Radiology, Cancer Hospital, Chinese Academy of Medical Science, Peking Union Medical College, Beijing 100005, P.R. China. FAU - Li, Huai AU - Li H AD - Department of Diagnostic Radiology, Cancer Hospital, Chinese Academy of Medical Science, Peking Union Medical College, Beijing 100005, P.R. China. LA - eng PT - Journal Article DEP - 20150424 PL - England TA - Mol Clin Oncol JT - Molecular and clinical oncology JID - 101613422 PMC - PMC4486900 OTO - NOTNLM OT - adverse events OT - efficacy OT - hepatocellular carcinoma OT - sorafenib OT - transcatheter arterial chemoembolization EDAT- 2015/07/15 06:00 MHDA- 2015/07/15 06:01 PMCR- 2015/04/24 CRDT- 2015/07/15 06:00 PHST- 2014/12/04 00:00 [received] PHST- 2015/04/08 00:00 [accepted] PHST- 2015/07/15 06:00 [entrez] PHST- 2015/07/15 06:00 [pubmed] PHST- 2015/07/15 06:01 [medline] PHST- 2015/04/24 00:00 [pmc-release] AID - MCO-0-0-554 [pii] AID - 10.3892/mco.2015.554 [doi] PST - ppublish SO - Mol Clin Oncol. 2015 Jul;3(4):929-935. doi: 10.3892/mco.2015.554. Epub 2015 Apr 24.