PERCUTANEOUS ETHANOL INJECTION FOR THE TREATMENT OF SMALL HEPATOCELLULAR-CARCINOMA - STUDY OF 95 PATIENTS

被引:308
作者
EBARA, M [1 ]
OHTO, M [1 ]
SUGIURA, N [1 ]
KITA, K [1 ]
YOSHIKAWA, M [1 ]
OKUDA, K [1 ]
KONDO, F [1 ]
KONDO, Y [1 ]
机构
[1] CHIBA UNIV, SCH MED, DEPT PATHOL 2, CHIBA, JAPAN
关键词
HEPATOCELLULAR CARCINOMA (HCC); INTERVENTIONAL ULTRASOUND; LIVER; PERCUTANEOUS ETHANOL INJECTION (PEI);
D O I
10.1111/j.1440-1746.1990.tb01115.x
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Percutaneous ethanol injection (PEI) was applied to 120 lesions in 95 patients with hepatocellular carcinomas (HCC) smaller than 3 cm in the past 6 years. All main target tumours, in 67 patients who had been followed by sonography for more than 6 months after PEI, decreased in size; 28 tumours (41.8%) became undetectable and have remained so until now. The 1-, 2-, 3-, 4- and 5-year survival rates calculated by the Kaplan-Meier method were 93%, 81%, 65%, 52% and 28% respectively. These survival rates were better than those of patients with HCC smaller than 3 cm who did not receive anticancer treatment (P < 0.01). The survival of patients of the Child's A or Child's B status was better than that of those with Child's C disease. Recurrence occurred in areas within the liver different from the original lesion in 34% in one year, 61% in two years and 66% in three years after PEI. PEI was then repeated in 61% of such patients.
引用
收藏
页码:616 / 626
页数:11
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