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Adjuvant transarterial chemoembolization following radical resection for intrahepatic cholangiocarcinoma: A multi-center retrospective study

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单位: [1]Fujian Med Univ, Mengchao Hepatobiliary Hosp, Dept Radiat Oncol, Fuzhou 350025, Peoples R China [2]Fujian Med Univ, Mengchao Hepatobiliary Hosp, Dept Hepatobiliary Surg, Fuzhou 350025, Peoples R China [3]Zhejiang Univ, Hosp Affiliated 2, Dept Hepatobiliary Surg, Hangzhou 310009, Peoples R China [4]Army Med Univ, Southwest Hosp, Dept Hepatobiliary Surg, Chongqing 400038, Peoples R China [5]Chinese Acad Med Sci, Canc Hosp, Dept Hepatobiliary Surg, Beijing 100021, Peoples R China [6]Huazhong Univ Sci & Technol,Tongji Med Coll,Tongji Hosp,Dept Hepatobiliary Surg,Wuhan 430030,Hubei,Peoples R China [7]Capital Med Univ, Beijing Friendship Hosp, Dept Hepatobiliary Surg, Beijing 100053, Peoples R China [8]Sichuan Univ, West China Hosp, Dept Hepatobiliary Surg, Chengdu 610041, Peoples R China [9]Shanghai Jiao Tong Univ, Renji Hosp, Dept Hepatobiliary Surg, Shanghai 200127, Peoples R China [10]Capital Med Univ, Xuanwu Hosp, Dept Hepatobiliary Surg, Beijing 100050, Peoples R China [11]Chuanbei Med Univ, Affiliated Hosp, Dept Hepatobiliary Surg, Nanchong 637000, Peoples R China [12]Capital Med Univ, Tiantan Hosp, Dept Hepatobiliary Surg, Beijing 100050, Peoples R China [13]Secondary Mil Med Univ, Eastern Hepatobiliary Surg Hosp, Dept Hepatobiliary Surg 3, Shanghai 200438, Peoples R China
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关键词: intrahepatic cholangiocarcinoma transarterial chemoembolization overall survival propensity score matching

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Background and Aims: The prognosis of intrahepatic cholangiocarcinoma (ICC) after radical resection is far from satisfactory, but the effect of postoperative transarterial chemoembolization (p-TACE) remains controversial. This multi-center retrospective study was to evaluate the clinical value of p-TACE and identify the selected patients who would benefit from p-TACE. Methods: Data of ICC patients who underwent radical resection with/without p-TACE therapy was obtained from 12 hepatobiliary centers in China between Jan 2014 and Jan 2017. Overall survival (OS) was set as the primary endpoint, which was analyzed by the Kaplan-Meier method before and after propensity score matching (PSM). Subgroup analysis was conducted based on the established staging system and survival risk stratification. Results: A total of 335 patients were enrolled in this study, including 39 patients in the p-TACE group and 296 patients in the non-TACE group. Median OS in the p-TACE group was longer than that in the non-TACE group (63.0 months vs. 18.0 months, P=0.041), which was confirmed after 1:1 PSM (P=0.009). According to the 8th TNM staging system, patients with stage II and stage III stage would be benefited from p-TACE (P=0.021). Subgroup analysis stratified by risk factors showed that p-TACE could only benefit patients with risk factors <2 (P=0.027). Conclusion: Patients with ICC should be recommended to receive p-TACE following radical resection, especially for those with stage II, stage III or risk factors <2. However, the conclusion deserved further validation.

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出版当年[2019]版:
大类 | 3 区 医学
小类 | 3 区 肿瘤学
最新[2025]版:
大类 | 3 区 医学
小类 | 4 区 肿瘤学
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出版当年[2018]版:
Q2 ONCOLOGY
最新[2023]版:
Q2 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

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第一作者单位: [1]Fujian Med Univ, Mengchao Hepatobiliary Hosp, Dept Radiat Oncol, Fuzhou 350025, Peoples R China
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通讯机构: [1]Fujian Med Univ, Mengchao Hepatobiliary Hosp, Dept Radiat Oncol, Fuzhou 350025, Peoples R China [2]Fujian Med Univ, Mengchao Hepatobiliary Hosp, Dept Hepatobiliary Surg, Fuzhou 350025, Peoples R China [13]Secondary Mil Med Univ, Eastern Hepatobiliary Surg Hosp, Dept Hepatobiliary Surg 3, Shanghai 200438, Peoples R China [*1]Fujian Med Univ, Mengchao Hepatobiliary Hosp, Xihong Rd 312, Fuzhou 350025, Fujian, Peoples R China
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