Kodama Yoshihisa, Shimizu Tadashi, Endo Hideho, Hige Shuhei, Kamishima Tamotsu, Holland George A, Miyamoto Noriyuki, Miyasaka Kazuo
Department of Radiology, Hokkaido University, School of Medicine, N15 W7, Kita-ku, Sapporo, 060-8638, Japan.
Cardiovasc Intervent Radiol. 2002 Mar-Apr;25(2):137-40. doi: 10.1007/s00270-001-0060-4. Epub 2002 Jan 17.
We present a case of spontaneous rupture of hepatocellular carcinoma (HCC) with poor liver function which was treated by transcatheter arterial embolization (TAE). The patient's bilirubin value was 3.8 mg/dL. The tumor was fed by the right renal capsular artery according to selective arteriography. It was subsequently treated by TAE. With successful TAE, no hepatic failure was related to the treatment. We believe that if tumors are fed only by extrahepatic collateral vessels, TAE may be an effective treatment even in patients with poor liver function.
我们报告一例肝功能差的肝细胞癌（HCC）自发性破裂病例，该病例接受了经导管动脉栓塞术（TAE）治疗。患者胆红素值为3.8mg/dL。根据选择性动脉造影，肿瘤由右肾包膜动脉供血。随后对其进行了TAE治疗。TAE治疗成功，未出现与治疗相关的肝衰竭。我们认为，如果肿瘤仅由肝外 collateral vessels供血，即使对于肝功能差的患者，TAE也可能是一种有效的治疗方法。 （注：原文中“collateral vessels”可能有误，结合语境推测可能是“侧支血管”，但按要求未做修改）
