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Titolo:
HEPATOCELLULAR-CARCINOMA - TREATMENT WITH A COMBINATION OF TRANSCATHETER ARTERIAL CHEMOEMBOLIZATION AND TRANSPORTAL ETHANOL INJECTION
Autore:
YAMAKADO K; HIRANO T; KATO N; TAKEDA K; NAKAGAWA T; TAKASE K; NAKANO T; MURAYAMA T; MATSUDA A;
Indirizzi:
MIE UNIV,SCH MED,DEPT RADIOL,214 EDOBASHI TSU MIE 514 JAPAN MIE UNIV,SCH MED,DEPT INTERNAL MED 1 TSU MIE 514 JAPAN UENO CITY HOSP,DEPT INTERNAL MED UENO MIE JAPAN SUZUKA UNIV MED SCI & TECHNOL SUZUKA MIE JAPAN
Titolo Testata:
Radiology
fascicolo: 1, volume: 193, anno: 1994,
pagine: 75 - 80
SICI:
0033-8419(1994)193:1<75:H-TWAC>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
PORTAL VENOUS EMBOLIZATION; VEIN EMBOLIZATION; ABSOLUTE ETHANOL; SURGERY; TUMORS;
Keywords:
ALCOHOL; INTERVENTIONAL PROCEDURES; LIVER NEOPLASMS, BLOOD SUPPLY; LIVER NEOPLASMS, CHEMOTHERAPEUTIC INFUSION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
21
Recensione:
Indirizzi per estratti:
Citazione:
K. Yamakado et al., "HEPATOCELLULAR-CARCINOMA - TREATMENT WITH A COMBINATION OF TRANSCATHETER ARTERIAL CHEMOEMBOLIZATION AND TRANSPORTAL ETHANOL INJECTION", Radiology, 193(1), 1994, pp. 75-80

Abstract

PURPOSE: To evaluate the efficacy and complications of transportal ethanol injection (TPEI) combined with transcatheter arterial chemoembolization to achieve complete tumor necrosis and prevent intrahepatic metastases in patients with hepatocellular carcinoma (HCC). MATERIALS AND METHODS: In 13 patients with HCC, chemoembolization was performed with injection of a mixture of iodized oil and doxorubicin hydrochloridefollowed by administration of gelatin sponge; 1-4 weeks later, TPEI was performed with percutaneous transhepatic portography. Ethanol (15-65 mL) was injected in the portal veins around the tumor until occlusion. RESULTS: TPEI was successfully performed in all patients. Two patients subsequently underwent surgery; their tumors were resected completely. Two died of hepatic failure. Seven of the nine other patients showed no recurrence or intrahepatic metastasis during follow-up (7-42 months). Histologic examination, performed in nine patients, showed complete necrosis of tumor and scattered or severe necrosis of surroundingtissues. CONCLUSION: This treatment has a strong anticancerous effectand is expected to be used in treatment of properly selected patientswith HCC.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/07/20 alle ore 01:20:11