Table 2. . Liver directed radiation outcomes for hepatocellular carcinoma with tumor vein thrombosis.
Author | Institution | Study design | Pts | Tumor size (range) | Prior non-RT trtmt (%) | Trtmt | Dose (range) in Gy | Fx | ORR† (%) | 1-year OS (%) | MS (mo) | Grade ≥3 toxicity (%) | Ref. |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Bujold et al. | Princess Margaret Hospital | Prospective | 56 | 1.8–23.1 cm | 52‡ | SBRT | 36 (24–54) | 6 | NR | 44 | 10.6 | 36† | [44] |
Xi et al. | Guangzhou, China | Retrospective | 41 | NR | 100 | SBRT | 36 (30–48) | 6 | 75.6 | 50 | 13 | 2.40 | [86] |
Sugahara et al. | University of Tsukuba, Japan | Retrospective | 35 | 2.5–13 cm | 77.8 | Proton | 72.6 (55–77) GyE | 2.2–5.5 GyE/fx | 63 Primary | 48 at 2 years | 22 | 8.60 | [87] |
55.6 TVT | [87] | ||||||||||||
Choi et al. | Catholic University, Korea | Retrospective | 9 | 3.9–47.7 ml | 83.9§ | SBRT | 36 (30–39) | 3 | 44.4 | 43.20 | 8 | 16† | [88] |
Yoon et al. | Asan Medical Center, Korea | Retrospective | 412 | 2–21 cm | NR | 3D-CRT + TACE | 40 (21–60) | 2–5 Gy/fx | 28 Primary | 43 | 10.6 | 10 | [89] |
39.6 TVT | [89] | ||||||||||||
Rim et al. | Korea University Medical Center | Retrospective | 45 | 1.5–17.3 cm | 93.3 | 3D-CRT | 61.2 (38–65) | 1.8–2.5 Gy/fx | 62.3 TVT | 52 | 13.9 | 2 | [90] |
Chuma et al. | Hokkaido University, Japan | Retrospective | 20 | 6–14.5 cm | 55 | 3D-CRT + intra-arterial-5FU and SubQ-IFN | 30–48 | 6–20 | 60 TVT | NS | 10.6 | 15 | [91] |
Huang et al. | Kaohsiung Medical Center, Taiwan | Retrospective | 326 | ≥10cm in 39% | NR | 3D-CRT | 60 | 20–30 | 17.1 TVT | 17 | 3.8 | 0 | [92] |
Kang et al. | Navy General Hospital, Beijing, China | Retrospective | 101 | NR | NR | SBRT → TACE | 40.2 (21–60) | 6 | 88.2 | 58.8 | 17 | 32.4 | [93] |
TACE → SBRT | 89.2 | 54.1 | 15 | 40.5 | [93] | ||||||||
SBRT | 83.3 | 500 | 12 | 30.0 | [93] | ||||||||
Lin | Taipei, Taiwan | Prospective | 9 7 | 6.5 cm (median) 13.8 cm (median) | NR | Fractionated SBRT 3D-CRT | 45 45 |
15 25 |
75 84 |
NR | 6 6.7 |
NR | [94] |
†Grade 3+ toxicity reported for all patients with and without TVT.
‡Did not specify prior trtmt for patients w/versus w/o TVT.
§Includes additional pts without TVT.
3D-CRT: 3D conformal radiation therapy; CP Class: Child–Pugh class; Fx: Fractions; LC: Local control; KIRMS: Korea institute of radiological and medical sciences; NR: Not reported; MS: Median survival; ORR: Overall response rate (CR+PR), specified response for primary tumor and TVT when available; OS: Overall survival; Pts: Patients; SBRT: Stereotactic body radiotherapy; SubQ-IFN: Subcutaneous interferon; TACE: Trans-arterial chemoembolization; Trtmt: Treatment; TVT: Tumor vein thrombosis.
Adapted with permission from [62] © The Oncologist (2014).