Journal Article

DKFZ-2025-01918

http://join2-wiki.gsi.de/foswiki/pub/Main/Artwork/join2_logo100x88.png Does volume change of the spleen correlate with the therapy response in uveal melanoma patients with liver metastases undergoing hepatic artery infusion chemotherapy?

Steinberg-Vorhoff, H. L. ; Drews, M. ; Opitz, M. ; Landeghem, N. v. ; Salhöfer, L. ; Holtkamp, M. ; Li, Y. ; Haubold, J. ; Siveke, J.DKFZ* ; Richly, H. ; Forsting, M. ; Schaarschmidt, B. M. ; Zensen, S.

2025
Sciendo Warsaw

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Please use a persistent id in citations: doi:10.2478/raon-2025-0047

Abstract: Uveal melanoma (UM) patients with liver metastases often undergo hepatic artery infusion therapy (HAIC). Due to diffuse metastatic spread in the liver, patients often develop hepatomegaly and secondary, portal hypertension which may lead to splenomegaly. This study aimed to compare spleen volumetry and the change of spleen volume (SV) for the evaluation of HAIC treatment response.In this study, 179 UM patients (mean age 64.8 ± 11.0y, 53% female) with liver metastases undergoing HAIC were included. Treatment response was analyzed by RECIST 1.1 and SV on CT imaging before and after first HAIC. The correlation of change in spleen and liver volume was analyzed with Spearman test. Overall survival (OS) was calculated as the time from the first HAIC to patient death using Kaplan-Meier test and multivariate analysis was performed for RECIST 1.1 and SV.In the study population, OS was 13.8 months (95% CI 10.6-14.7 months). Change in SV before and after first HAIC was +4% (interquartile range [IQR] -4.0%-12.0%, p = 0.49) and showed a weak correlation with OS (r = -0.11, p = 0.18). UM patients with progressive disease (PD) according to RECIST 1.1 showed an increase in SV compared to patients with stable disease (SD) (p = 0.04). Compared to RECIST 1.1, SV was not significant prognostic factor that can identify a change in OS.In uveal melanoma patients with liver metastases undergoing HAIC, neither the change of SV nor splenomegaly could be identified as prognostic factors for OS.

Keyword(s): Humans (MeSH) ; Uveal Neoplasms: pathology (MeSH) ; Uveal Neoplasms: drug therapy (MeSH) ; Female (MeSH) ; Melanoma: drug therapy (MeSH) ; Melanoma: pathology (MeSH) ; Melanoma: secondary (MeSH) ; Melanoma: diagnostic imaging (MeSH) ; Middle Aged (MeSH) ; Male (MeSH) ; Liver Neoplasms: secondary (MeSH) ; Liver Neoplasms: drug therapy (MeSH) ; Liver Neoplasms: diagnostic imaging (MeSH) ; Infusions, Intra-Arterial (MeSH) ; Spleen: pathology (MeSH) ; Spleen: diagnostic imaging (MeSH) ; Uveal Melanoma (MeSH) ; Aged (MeSH) ; Hepatic Artery (MeSH) ; Organ Size (MeSH) ; Retrospective Studies (MeSH) ; Tomography, X-Ray Computed (MeSH) ; Treatment Outcome (MeSH) ; hepatic artery infusion chemotherapy ; liver metastases ; spleen size ; survival ; uveal melanoma

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Contributing Institute(s):

1. DKTK Koordinierungsstelle Essen/Düsseldorf (ED01)

Research Program(s):

1. 899 - ohne Topic (POF4-899) (POF4-899)

Appears in the scientific report 2025

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Database coverage:
; ; ; Article Processing Charges ; Clarivate Analytics Master Journal List ; Current Contents - Clinical Medicine ; DOAJ Seal ; Essential Science Indicators ; Fees ; IF < 5 ; JCR ; SCOPUS ; Science Citation Index Expanded ; Web of Science Core Collection

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