Nakamura Masato, Nagano Hiroaki, Sakon Masato, Yamamoto Tameyoshi, Ota Hideo, Marubashi Shigeru, Miyamoto Atsushi, Dono Keizo, Umeshita Koji, Nakamori Shoji, Hiramatsu Naoki, Hayashi Norio, Monden Morito
Dept. of Surgery and Clinical Oncology, Graduate School of Medicine, Osaka University.
Gan To Kagaku Ryoho. 2003 Oct;30(11):1717-21.
A 55-year-old female was admitted to our hospital for a third recurrence of hepatoma. She was treated with transcatheter arterial embolization (TAE) in April and November 1996. Computed tomography (CT) and magnetic resonance imaging (MRI) revealed multiple tumors of S4/S8 and S7 in the liver. After the third TAE using SMANCS, Lipiodol and Spongel, abdominal CT revealed insufficient Lipiodol retention and the in efficacy of this treatment. A right lobectomy of the liver was performed for the TAE resistant multiple recurrence of HCC. After the surgery, the patient survived for over 5 years with no recurrence. It appears that this surgery may be a useful modality for TAE resistant multiple recurrence hepatoma in cases of good liver function and lesions limited to the hemi lobe.
一名55岁女性因肝癌第三次复发入院。她于1996年4月和11月接受了经导管动脉栓塞术（TAE）治疗。计算机断层扫描（CT）和磁共振成像（MRI）显示肝脏S4/S8和S7区域有多个肿瘤。在使用丝裂霉素超液化碘油乳剂（SMANCS）、碘油和明胶海绵进行第三次TAE后，腹部CT显示碘油滞留不足且该治疗无效。对TAE抵抗的肝癌多次复发患者进行了肝右叶切除术。术后，患者存活超过5年且无复发。对于肝功能良好且病变局限于半肝的TAE抵抗的肝癌多次复发病例，该手术似乎可能是一种有效的治疗方式。
Zotero 插件