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Published in: Tumor Biology 2/2016

01-02-2016 | Original Article

RETRACTED ARTICLE: The clinical utility of image-guided iodine-125 seed in patients with unresectable pancreatic cancer

Authors: Hongxin Niu, Xikun Zhang, Bin Wang, Zhao Zhou, Jian Wang, Zhongfa Xu

Published in: Tumor Biology | Issue 2/2016

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Abstract

In the present study, we investigated the clinical effects of image-guided iodine-125 (125I) seed on unresectable pancreatic cancer. Twenty-five patients with unresectable pancreatic cancer were enrolled in this study, including 13 patients with seed implantation and 12 patients as control. The survival status, clinical benefits, objective curative effects, and relevant tumor markers were analyzed to assess the feasibility and safety of interstitial 125I seed implantation. We found that the clinical benefit rate of the seed implantation group is 92.3 % (12/13), compared with 41.7 % (5/12) in the control, and the difference was statistically significant (p < 0.01). Compared with control, patients with seed implantation had significantly shorter operative time, less bleeding, higher albumin, shorter periods to bowel movement, and normal diet as well as lower risk of complications (p < 0.001). The differences of objective curative effects adverse effects, complications, and median survival between these two groups were not significant statistically (p > 0.05). In conclusion, 125I seed implantation provides a safe and effective method to inhibit the tumor development, relieve pain, and improve quality of life for unresectable pancreatic cancer. These findings need to be validated by conducting further studies with larger cohorts.
Literature
1.
2.
go back to reference Klein AP. Identifying people at a high risk of developing pancreatic cancer. Nat Rev Cancer. 2013;13(1):66–74.CrossRefPubMed Klein AP. Identifying people at a high risk of developing pancreatic cancer. Nat Rev Cancer. 2013;13(1):66–74.CrossRefPubMed
3.
go back to reference Majumder S, Chubineh S, Birk J. Pancreatic cancer: an endoscopic perspective. Expert Rev Gastroenterol Hepatol. 2012;6(1):95–103.CrossRefPubMed Majumder S, Chubineh S, Birk J. Pancreatic cancer: an endoscopic perspective. Expert Rev Gastroenterol Hepatol. 2012;6(1):95–103.CrossRefPubMed
4.
5.
go back to reference Baron TH, Kozarek RA. Preoperative biliary stents in pancreatic cancer-proceed with caution. N Engl J Med. 2010;362(2):170–2.CrossRefPubMed Baron TH, Kozarek RA. Preoperative biliary stents in pancreatic cancer-proceed with caution. N Engl J Med. 2010;362(2):170–2.CrossRefPubMed
6.
go back to reference Furuse J, Kinoshita T, Kawashima M, et al. Intraoperative and conformal external-beam radiation therapy with protracted 5-fluorouracil infusion in patients with locally advanced pancreatic carcinoma. Cancer. 2003;97:1346–52.CrossRefPubMed Furuse J, Kinoshita T, Kawashima M, et al. Intraoperative and conformal external-beam radiation therapy with protracted 5-fluorouracil infusion in patients with locally advanced pancreatic carcinoma. Cancer. 2003;97:1346–52.CrossRefPubMed
7.
go back to reference Wang JJ, Jiang YL, Li JN, et al. Intraoperative ultrasound-guided iodine-125 seed implantation for unresectable pancreatic carcinoma. J Exp Clin Cancer Res. 2009;28:1–6.CrossRef Wang JJ, Jiang YL, Li JN, et al. Intraoperative ultrasound-guided iodine-125 seed implantation for unresectable pancreatic carcinoma. J Exp Clin Cancer Res. 2009;28:1–6.CrossRef
8.
go back to reference Wang H, Wang J, Jiang Y, et al. The investigation of 125I seed implantation as a salvage modality for unresectable pancreatic carcinoma. J Exp Clin Cancer Res. 2013;32(1):106.CrossRefPubMedPubMedCentral Wang H, Wang J, Jiang Y, et al. The investigation of 125I seed implantation as a salvage modality for unresectable pancreatic carcinoma. J Exp Clin Cancer Res. 2013;32(1):106.CrossRefPubMedPubMedCentral
9.
go back to reference Eisenhauer EA, Therasse P, Bogaerts J, et al. New response evaluation criteria in solid tumours: revised RECIST guideline. Eur J Cancer. 2009;45:228–47.CrossRefPubMed Eisenhauer EA, Therasse P, Bogaerts J, et al. New response evaluation criteria in solid tumours: revised RECIST guideline. Eur J Cancer. 2009;45:228–47.CrossRefPubMed
10.
go back to reference Watanabe H, Okada M, Kaji Y, et al. New response evaluation criteria in solid tumours-revised RECIST guideline. Gan To Kagaku Ryoho. 2009;36(13):2495–501.PubMed Watanabe H, Okada M, Kaji Y, et al. New response evaluation criteria in solid tumours-revised RECIST guideline. Gan To Kagaku Ryoho. 2009;36(13):2495–501.PubMed
11.
go back to reference Liang J, Xi JW, Pan HJ, et al. Effect and mechanism of 125I radioactive particles interposed radiotherapy between organizations on lung cancer. Chin-Ger J Clin Oncol. 2013;12(12):1245–4.CrossRef Liang J, Xi JW, Pan HJ, et al. Effect and mechanism of 125I radioactive particles interposed radiotherapy between organizations on lung cancer. Chin-Ger J Clin Oncol. 2013;12(12):1245–4.CrossRef
12.
go back to reference Zhuang HQ, Wang JJ, Liao AY, et al. The biological effect of 125I seed continuous low dose rate irradiation in CL187 cells. J Exp Clin Cancer Res. 2009;28:12.CrossRefPubMedPubMedCentral Zhuang HQ, Wang JJ, Liao AY, et al. The biological effect of 125I seed continuous low dose rate irradiation in CL187 cells. J Exp Clin Cancer Res. 2009;28:12.CrossRefPubMedPubMedCentral
13.
go back to reference Ma JX, Jin ZD, Si PR, et al. Continuous and low-energy 125I seed irradiation changes DNA methyltransferases expression patterns and inhibits pancreatic cancer tumor growth. J Exp Clin Cancer Res. 2011;30:35.CrossRefPubMedPubMedCentral Ma JX, Jin ZD, Si PR, et al. Continuous and low-energy 125I seed irradiation changes DNA methyltransferases expression patterns and inhibits pancreatic cancer tumor growth. J Exp Clin Cancer Res. 2011;30:35.CrossRefPubMedPubMedCentral
14.
go back to reference Ma ZH, Yang Y, Zou L, et al. 125I seed irradiation induces upregulation of the genes associated with apoptosis and cell cycle arrest and inhibits growth of gastric cancer xenografts. J Exp Clin Cancer Res. 2012;31:61.CrossRefPubMedPubMedCentral Ma ZH, Yang Y, Zou L, et al. 125I seed irradiation induces upregulation of the genes associated with apoptosis and cell cycle arrest and inhibits growth of gastric cancer xenografts. J Exp Clin Cancer Res. 2012;31:61.CrossRefPubMedPubMedCentral
15.
go back to reference Syed AM, Puthawala AA, Neblett DL. Interstitial iodine-125 implant in the management of unresectable pancreatic carcinoma. Cancer. 1983;52:808–13.CrossRefPubMed Syed AM, Puthawala AA, Neblett DL. Interstitial iodine-125 implant in the management of unresectable pancreatic carcinoma. Cancer. 1983;52:808–13.CrossRefPubMed
16.
go back to reference Liu K, Zhang W, Liu SY, et al. Comparison of iodine-125 seed implantation and pancreaticoduodenectomy in the treatment of pancreatic cancer. Int J Med Sci. 2014;11(9):893–6.CrossRefPubMedPubMedCentral Liu K, Zhang W, Liu SY, et al. Comparison of iodine-125 seed implantation and pancreaticoduodenectomy in the treatment of pancreatic cancer. Int J Med Sci. 2014;11(9):893–6.CrossRefPubMedPubMedCentral
17.
go back to reference Wang ZM, Liu Y, Liu FJ, et al. Clinical efficacy of CT-guided iodine-125 seed implantation therapy in patients with advanced pancreatic cancer. Eur Radiol. 2010;20(7):1786–91.CrossRef Wang ZM, Liu Y, Liu FJ, et al. Clinical efficacy of CT-guided iodine-125 seed implantation therapy in patients with advanced pancreatic cancer. Eur Radiol. 2010;20(7):1786–91.CrossRef
18.
go back to reference Ioka T, Nakamura S, Nishiyama K. A randomized phase II study of gemcitabine 1000 mg/msq and concurrent radiotherapy comparing gemcitabine alone for unresectable locally advanced pancreatic adenocarcinoma. Int J Radiat Oncol Biol Phys. 2010;78:S102.CrossRef Ioka T, Nakamura S, Nishiyama K. A randomized phase II study of gemcitabine 1000 mg/msq and concurrent radiotherapy comparing gemcitabine alone for unresectable locally advanced pancreatic adenocarcinoma. Int J Radiat Oncol Biol Phys. 2010;78:S102.CrossRef
19.
go back to reference Peretz T, Nori D, Hilaris B, et al. Treatment of primary unresectable carcinoma of the pancreas with I-125 implantation. Int J Radiat Oncol Biol Phys. 1989;17:931–5.CrossRefPubMed Peretz T, Nori D, Hilaris B, et al. Treatment of primary unresectable carcinoma of the pancreas with I-125 implantation. Int J Radiat Oncol Biol Phys. 1989;17:931–5.CrossRefPubMed
Metadata
Title
RETRACTED ARTICLE: The clinical utility of image-guided iodine-125 seed in patients with unresectable pancreatic cancer
Authors
Hongxin Niu
Xikun Zhang
Bin Wang
Zhao Zhou
Jian Wang
Zhongfa Xu
Publication date
01-02-2016
Publisher
Springer Netherlands
Published in
Tumor Biology / Issue 2/2016
Print ISSN: 1010-4283
Electronic ISSN: 1423-0380
DOI
https://doi.org/10.1007/s13277-015-4045-3

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