THERAPEUTIC EFFECT OF TRANSCATHETER OILY CHEMOEMBOLIZATION THERAPY FOR ENCAPSULATED NODULAR HEPATOCELLULAR-CARCINOMA - CT AND PATHOLOGICAL FINDINGS

被引:168
作者
CHOI, BI
KIM, HC
HAN, JK
PARK, JH
KIM, YI
KIM, ST
LEE, HS
KIM, CY
HAN, MC
机构
[1] SEOUL NATL UNIV,COLL MED,DEPT RADIOL,SEOUL 151,SOUTH KOREA
[2] SEOUL NATL UNIV,COLL MED,DEPT INTERNAL MED,SEOUL 151,SOUTH KOREA
[3] SEOUL NATL UNIV,COLL MED,DEPT SURG,SEOUL 151,SOUTH KOREA
[4] SEOUL NATL UNIV,COLL MED,DEPT PATHOL,SEOUL 151,SOUTH KOREA
关键词
CHEMOTHERAPEUTIC INFUSION; CHEMOTHERAPY; CONTRAST MEDIA; FATTY ACID; LIVER NEOPLASMS; CT; DIAGNOSIS;
D O I
10.1148/radiology.182.3.1311116
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
An emulsion of iodized oil and doxorubicin hydrochloride was intraarterially injected in 27 patients with encapsulated single nodular hepatocellular carcinoma (HCC). Computed tomography (CT) was performed 1-3 weeks after injection, and the lesions were resected 1-4 weeks thereafter. The percentages of tumor necrosis were evaluated in cut surfaces of resected specimens and were compared with the findings at iodized-oil CT. Six tumors with complete intratumor retention of iodized oil had 98% necrosis, and 21 tumors with incomplete retention had 64% necrosis. Two tumors with complete retention of iodized oil in the surrounding liver had 100% necrosis, while 16 tumors with partial retention and nine tumors without retention of iodized oil in surrounding liver had 74% and 62% necrosis, respectively. Complete retention of iodized oil in the tumor and surrounding liver demonstrated the best therapeutic effects. Evaluation of the pattern and distribution of iodized oil in the tumor and surrounding liver with iodized-oil CT is useful in the assessment of the therapeutic effects of transcatheter arterial embolization in encapsulated nodular HCCs.
引用
收藏
页码:709 / 713
页数:5
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