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find Author "ZHUANG Yaqiang" 1 results
  • Clinical Analysis of Preoperative Super-Selective Arterial Catheterization Chemoembolization under DSA for Advanced Breast Cancer and Their Characteristics of Blood Supply Artery

    Objective To summarize the blood supply to the sources and characteristics of advanced breast cancer,and explore the method,efficacy,and clinical applications of preoperative super-selective arterial catheterization chemoembolization under DSA for it. Methods Sixty patients with advanced breast cancer confirmed by the aspiration biopsy from February 2007 to October 2011 in this hospital were selected. Seldinger method was used,distributing of the tumor blood supply artery was identified and intubated the target artery by super-selective arterial catheterization via the femoral artery puncture under the DSA. Then,pirarubicin 60 mg plus paclitaxel 120 mg of two chemotherapy drugs was injected into slowly the target artery and the intervention infusion chemotherapy was performed,finally the tumor blood supply artery was embolizated by gelatin sponge particle. Results A total of 112 conclusive blood supply artery in 60 patients with DSA were found,including eight cases of single blood supply artery,52 cases of multiple blood supply arteries,mainly in the lateral thoracic artery and (or) internal thoracic artery-based. The complete remission rate was 25.0% (15/60),partial remission rate was 73.3% (44/60),stable disease rate was 1.7% (1/60),the total effective rate was 98.3% (59/60). There was no progression disease. The median remission duration was 19 months,median survival time was 40 months. Conclusions The location of the original foci of breast cancer is closely related to blood supply arteries. The tumor in the lateral of the breast mainly dominates by the lateral thoracic artery blood supply. The tumor in the inner breast mainly dominates by the internal thoracic artery blood supply. The preoperative super-selective arterial catheterization chemoembolization under DSA can obviously improve the therapeutic effect,long-term survival,and the target of interventional chemoembolization.

    Release date:2016-09-08 10:38 Export PDF Favorites Scan
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