PMID- 28993945 OWN - NLM STAT- MEDLINE DCOM- 20180109 LR - 20220410 IS - 1432-1335 (Electronic) IS - 0171-5216 (Linking) VI - 144 IP - 1 DP - 2018 Jan TI - Drug-eluting bead transarterial chemoembolization in the treatment for unresectable soft tissue sarcoma refractory to systemic chemotherapy: a preliminary evaluation of efficacy and safety. PG - 157-163 LID - 10.1007/s00432-017-2530-3 [doi] AB - PURPOSE: To preliminarily evaluate the clinical efficacy and safety of drug-eluting bead transarterial chemoembolization (DEB-TACE) for unresectable soft tissue sarcoma refractory to systemic chemotherapy. METHODS: Ten patients with refractory sarcoma who underwent DEB-TACE therapy between January 2015 and January 2017 were identified. Clinical information and radiological data were retrospectively collected to analyze tumor response, overall survival (OS), progression-free survival and adverse events (AEs). Tumor response to DEB-TACE was assessed with modified Response Evaluation Criteria in Solid Tumors (mRECIST) guidelines applied to computed tomography or magnetic resonance imaging. RESULTS: All DEB-TACE procedures were successfully performed for ten patients with 15 tumor lesions. The median follow-up duration was 19 months and the median survival time was 21 months (range 11-30 months). The 1- and 2-year OS rate was 90 and 30%, respectively. According to the guidance of mRECIST, complete response, partial response, stable disease and progressive disease were noted in zero (0%), three (30%), four (40%) and three (30%) patients, respectively. The disease control rate and objective response rate was 70 and 30%, respectively. There were no serious AEs in patients after DEB-TACE. CONCLUSIONS: Our data showed that DEB-TACE was effective and safe for patients with soft tissue sarcoma. Therefore, DEB-TACE can be considered as an alternative treatment option for unresectable soft tissue sarcoma refractory to conventionally systemic chemotherapy. FAU - Ni, Jia-Yan AU - Ni JY AD - Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Department of Interventional Radiology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, No. 107 Yanjiang Road West, Guangzhou, 510120, Guangdong, People's Republic of China. FAU - Sun, Hong-Liang AU - Sun HL AD - Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Department of Interventional Radiology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, No. 107 Yanjiang Road West, Guangzhou, 510120, Guangdong, People's Republic of China. FAU - Chen, Yao-Ting AU - Chen YT AD - Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Department of Interventional Radiology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, No. 107 Yanjiang Road West, Guangzhou, 510120, Guangdong, People's Republic of China. FAU - Luo, Jiang-Hong AU - Luo JH AD - Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Department of Interventional Radiology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, No. 107 Yanjiang Road West, Guangzhou, 510120, Guangdong, People's Republic of China. FAU - Wang, Wei-Dong AU - Wang WD AD - Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Department of Interventional Radiology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, No. 107 Yanjiang Road West, Guangzhou, 510120, Guangdong, People's Republic of China. FAU - Jiang, Xiong-Ying AU - Jiang XY AD - Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Department of Interventional Radiology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, No. 107 Yanjiang Road West, Guangzhou, 510120, Guangdong, People's Republic of China. FAU - Chen, Dong AU - Chen D AD - Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Department of Interventional Radiology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, No. 107 Yanjiang Road West, Guangzhou, 510120, Guangdong, People's Republic of China. FAU - Xu, Lin-Feng AU - Xu LF AUID- ORCID: 0000-0002-4217-328X AD - Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Department of Interventional Radiology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, No. 107 Yanjiang Road West, Guangzhou, 510120, Guangdong, People's Republic of China. xu_lin_feng@163.com. LA - eng PT - Journal Article DEP - 20171009 PL - Germany TA - J Cancer Res Clin Oncol JT - Journal of cancer research and clinical oncology JID - 7902060 SB - IM MH - Adult MH - Chemoembolization, Therapeutic/adverse effects/*methods MH - Disease-Free Survival MH - Female MH - Humans MH - Male MH - Middle Aged MH - Sarcoma/blood supply/*therapy MH - Survival Rate OTO - NOTNLM OT - Drug-eluting bead OT - Soft tissue sarcoma OT - Systemic chemotherapy OT - Transarterial chemoembolization EDAT- 2017/10/11 06:00 MHDA- 2018/01/10 06:00 CRDT- 2017/10/11 06:00 PHST- 2017/09/21 00:00 [received] PHST- 2017/10/03 00:00 [accepted] PHST- 2017/10/11 06:00 [pubmed] PHST- 2018/01/10 06:00 [medline] PHST- 2017/10/11 06:00 [entrez] AID - 10.1007/s00432-017-2530-3 [pii] AID - 10.1007/s00432-017-2530-3 [doi] PST - ppublish SO - J Cancer Res Clin Oncol. 2018 Jan;144(1):157-163. doi: 10.1007/s00432-017-2530-3. Epub 2017 Oct 9.