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| Effect of Apatinib Combined with TACE on Advanced Hepatocellular Carcinoma |
| WANG Hui, LING Qing-xia |
| Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University,Shanghai 201700 |
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Abstract 【Objective】To investigate the effects of Apatinib combined with transcatheter arterial chemoembolization (TACE) on serum alpha-fetoprotein (AFP),carbohydrate antigen 125 (CA125) and carbohydrate antigen 199 (CA199) in patients with advanced liver cancer. 【Methods】A total of 86 patients with advanced liver cancer who admitted to our hospital were divided into the observation group and the control group according to random number table method,with 43 cases in each group. Both groups received TACE treatment,while the observation group was additionally treated with Apatinib. After 3 months of treatment,the therapeutic effect,occurrence of adverse reactions and serum levels of AFP,CA125 and CA199 were compared between the two groups. The 1-year follow-up was performed to compare the 1-year survival rate between the two groups. 【Results】There was no significant difference in objective remission rate and disease control rate between the two groups after 3 months of treatment (P>0.05). Serum AFP,CA125 and CA199 levels in both groups after treatment were significantly lower than those before treatment (P<0.05); And AFP,CA125 and CA199 levels of post-treatment in the observation group was lower than those in the control group after treatment (P<0.05). There was no significant difference in the total incidence of adverse reactions between the two groups (P>0.05). The 1-year survival rate of observation group was 71.43%(30/42) which was higher than that of control group 51.16% (22/43),and the difference was statistically significant (P<0.05). 【Conclusion】Apatinib combined with TACE in the treatment of patients with advanced liver cancer has a good effect on tumor growth inhibition. It can reduce the levels of serum AFP,CA125 and CA199 without increasing adverse reactions. The 1-year survival rate of patients is higher.
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Received: 26 September 2022
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2023, Vol. 40 
