Evidence map›Paper›PMID 41545559›Full record

ArticleAbdominal radiology (New York)2026

Drug-eluting bead transarterial chemoembolization treatment of liver-dominant metastatic leiomyosarcoma.

Jonathan Henning, Shree Venkat, Premsai Kumar, Ghassan El-Haddad, Andrew Brohl, Mauricio Ribeiro, Rahul Mhaskar, Arash Naghavi, Mihaela Druta, Bela Kis

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Article in Abdominal radiology (New York), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Jonathan HenningUniversity of South Florida, Tampa, USA.
Shree VenkatMoffitt Cancer Center, Tampa, USA.
Premsai KumarUniversity of South Florida, Tampa, USA.
Ghassan El-HaddadMoffitt Cancer Center, Tampa, USA.
Andrew BrohlMoffitt Cancer Center, Tampa, USA.
Mauricio RibeiroMoffitt Cancer Center, Tampa, USA.
Rahul MhaskarUniversity of South Florida, Tampa, USA.
Arash NaghaviMoffitt Cancer Center, Tampa, USA.
Mihaela DrutaMoffitt Cancer Center, Tampa, USA.
Bela KisMoffitt Cancer Center, Tampa, USA. bela.kis@moffitt.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo analyze the safety and efficacy of drug-eluting bead transarterial chemoembolization (DEB-TACE) treatment of unresectable metastatic hepatic leiomyosarcoma.

methodsMedical records and imaging of patients with metastatic leiomyosarcoma to the liver who underwent doxorubicin DEB-TACE from December 2014 to September 2024 were retrospectively reviewed to evaluate survival and clinical and biochemical toxicities.

resultsThe study included 29 patients (9 males, 20 females; average age 60.1 ± 12.7 years). Twenty-three patients (79.3%) had bilobar and 6 patients (20.7%) had unilobar disease. Twenty patients (69%) had extrahepatic metastases at the time of the first DEB-TACE. Twenty-five patients (86%) received systemic therapies before DEB-TACE, and 5 of these patients had hepatic metastasectomy. The median overall survival (OS) from the first DEB-TACE was 16.3 months (95% CI 2.2; 30.4), from diagnosis of liver metastasis was 35.8 months (95% CI 21.0; 50.6), and from primary diagnosis was 67.5 months (95% CI 49.2; 85.8). At 3 months post-DEB-TACE, the objective response was 79% (23 out of 29 patients), and the disease control rate was 96% (28 out of 29 patients), evaluated by mRECIST. The median liver progression-free survival from the first DEB-TACE was 7.8 months (95% CI 4.5; 11.2). There were two grade 3 clinical toxicities, four grade 3 laboratory toxicities, and 20 grade 1 or 2 laboratory toxicities. There was no 30-day mortality and no mortality related to DEB-TACE.

conclusionDEB-TACE is safe and effective treatment in patients with liver-dominant unresectable leiomyosarcoma with minimal side effects. The 35.8 months median OS from diagnosis of liver metastasis is very promising in this patient population with unresectable, chemotherapy-refractory disease.

Indexed as

Antibiotics, AntineoplasticChemoembolization, TherapeuticDoxorubicinLeiomyosarcomaLiver NeoplasmsAgedFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeAntibiotics, AntineoplasticDoxorubicinLeiomyosarcomaLiver-directed therapySarcomaTransarterial chemoembolization

Identifiers

PMID41545559

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.