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@ARTICLE{Risse:57304,
author = {Risse, J. H. and Rabe, C. and Pauleit, D. and Reichmann, K.
and Menzel, C. and Grünwald, F. and Strunk, H. and
Biersack, H.-J. and Palmedo, H.},
title = {{T}herapy of hepatocellular carcinoma with
iodine-131-lipiodol: results in a large {G}erman cohort},
journal = {Nuklearmedizin},
volume = {45},
issn = {0029-5566},
address = {Stuttgart},
publisher = {Schattauer},
reportid = {PreJuSER-57304},
pages = {185 - 192},
year = {2006},
note = {Record converted from VDB: 12.11.2012},
abstract = {Aim: To evaluate the efficacy and tolerance of
iodine-I-131-lipiodol (I-131-lipiodol) for hepatocellular
carcinoma (HCC) in German long term patients and comparison
with medically treated controls. Patients, Methods: 38
courses of intro-arterial I-131-lipiodol therapy with a
total activity up to 6.7 GBq were performed in 18 patients
with HCC (6 with portal vein thrombosis). Liver and tumour
volume and lipiodol deposition were measured by computed
tomography and I-131 activity by scintigraphy. Therapeutic
efficacy was determined by tumour volume change and
matched-pairs analysis in comparison to medically (i.e.
tamoxifen or medical support) treated patients. Results:
Tumour volume decreased in 20/32 index nodules $(63\%)$
after the first course. Repeated therapy frequently resulted
in further tumour reduction. Overall response to treatment
was partial in 11 nodules, minor response in 4 nodules, and
disease was stable in 12 and progressive in 5. Significant
response was associated with pretherapeutic nodule volume up
to 150 ml (diameter of 6.6 cm). Survival rate after 3, 6, 9,
12, 24 and 36 months was 78, 61, 50, 39, 17, and $6\%.$
Matched-pairs analysis of survival revealed I-131-lipiodol
to be superior to medical treatment. The most important side
effect was a pancreatitis-like syndrome whereas overall
tolerance was good. Conclusion: The long term results
confirm that HCC therapy with I-131-lipiodol is effective
and probably superior to medical treatment. Tumour nodules
of up to 6 cm diameter are well suited for this therapy even
in the presence of portal vein thrombosis.},
keywords = {J (WoSType)},
cin = {IME},
ddc = {610},
cid = {I:(DE-Juel1)VDB54},
pnm = {Funktion und Dysfunktion des Nervensystems},
pid = {G:(DE-Juel1)FUEK409},
shelfmark = {Radiology, Nuclear Medicine $\&$ Medical Imaging},
typ = {PUB:(DE-HGF)16},
UT = {WOS:000239765700008},
url = {https://juser.fz-juelich.de/record/57304},
}