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Successful Combined S Systemic-Regional Chemotherapy for Advanced Intrahepatic Cholangiocarcinoma: Report of Two Cases

https://doi.org/10.37174/2587-7593-2022-5-1-83-91

Abstract

We present two patients with advanced unresectable intrahepatic cholangiocarcinoma successfully treated with combined systemic-regional chemotherapy. Intra-arterial treatment included oily chemoembolization and chemoinfusion (GEMOX) with additional systemic chemotherapy (GEMCIS). Chemotherapy did not stop after extrahepatic progression: metastases to the lungs and bones. Continuous symptomatic nutritional support allowed to minimize chemotherapeutic toxicity and to maintain good quality of life. One patient is still alive for more than 4 years, the other died of tumor progression in three years ten months. The importance of factors contributing to the long-term survival of patients with advanced intrahepatic cholangiocarcinoma is considered.

About the Authors

P. G. Tarazov
A.M. Granov Russian Research Center of Radiology and Surgical Technologies
Russian Federation

197758, Saint Petersburg, p. Pesochny, Leningradskaya str., 70



T. I. Kagacheva
A.M. Granov Russian Research Center of Radiology and Surgical Technologies
Russian Federation

197758, Saint Petersburg, p. Pesochny, Leningradskaya str., 70



A. A. Polikarpov
A.M. Granov Russian Research Center of Radiology and Surgical Technologies
Russian Federation

197758, Saint Petersburg, p. Pesochny, Leningradskaya str., 70



A. V. Moiseenko
A.M. Granov Russian Research Center of Radiology and Surgical Technologies
Russian Federation

197758, Saint Petersburg, p. Pesochny, Leningradskaya str., 70



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Review

For citations:


Tarazov P.G., Kagacheva T.I., Polikarpov A.A., Moiseenko A.V. Successful Combined S Systemic-Regional Chemotherapy for Advanced Intrahepatic Cholangiocarcinoma: Report of Two Cases. Journal of oncology: diagnostic radiology and radiotherapy. 2022;5(1):83–91. (In Russ.) https://doi.org/10.37174/2587-7593-2022-5-1-83-91

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ISSN 2587-7593 (Print)
ISSN 2713-167X (Online)