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Citation of this paper:.[J].Chinese Journal of Clinical Medicine,2017,24(2):219-223 |
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Author Name | Affiliation | 张巍1,2,龚高全1,2*,李长煜1,2,李国平1,2,陈颐1,2,王成刚1,2,王庆兵1,2,杨敏捷1,2,程洁敏1,2,王小林1,2 | 1. 上海市影像医学研究所,上海 200032
2. 复旦大学附属中山医院介入治疗科,上海 200032 |
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Abstract:Objective:To investigate the changes of plasma VEGF levels and its relationship with efficacy of transarterial chemoembolization (TACE) for patients with Barcelona Clinic Liver Cancer Staging (BCLC) stage B hepatocellular carcinoma, and also discuss its possible clinical significance. Methods:Peripheral blood samples were collected at 1 d before TACE and at 1, 3, 5, 7, 14, 30 d after TACE from 17 patients with BCLC stage B HCC. The relationship between plasma VEGF level and biological or imaging characteristics pre and post TACE were analyzed. Results:Compared with 1 day before surgery, the VEGF level at 1 day after surgery was improved, and decreased at 3 and 5 days after surgery, but increased significantly at 14 days after surgery (P<0.05). Higher levels of plasma VEGF were observed in patients with fistula between hepatic artery and portal vein, or with tumor recurrence. Good response to TACE were observed in 10 patients, 7 patients with poor response. There were significant differences between two groups on plasma VEGF level at 14 d post TACE(P<0.05). Conclusions:The plasma VEGF level can be regarded as index to evaluate the efficacy of TACE for patients with BCLC B stage. |
keywords:vascular endothelial growth factor hepatocellular carcinoma transcatheter arterial chemoembolization clinic liver cancer staging |
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