Novell R, Hilson A, Hobbs K
Academic Department of Surgery, Royal Free Hospital School of Medicine, London, UK.
Postgrad Med J. 1991 Apr;67(786):393-5. doi: 10.1136/pgmj.67.786.393.
A case of recurrent hepatocellular carcinoma following resection is reported. The patient received 2 treatments of 131I-lipiodol administered via the hepatic artery at angiography. Good localization in tumour tissue was observed on subsequent computed tomographic scans and no adverse effects were seen after either treatment. After the first treatment 2 nodules of recurrent tumour were resected and proved to be totally necrotic. The patient remains well 9 months later with a persistently elevated serum alphafetoprotein but no evidence of residual tumour. It is suggested that 131I-lipiodol may be the treatment of choice for small tumours in elderly high-risk patients.
本文报告了1例肝癌切除术后复发的病例。该患者在血管造影时经肝动脉接受了2次131I-碘油治疗。在随后的计算机断层扫描中观察到肿瘤组织有良好的定位，且每次治疗后均未出现不良反应。第一次治疗后，切除了2个复发性肿瘤结节，病理证实完全坏死。9个月后患者情况良好，血清甲胎蛋白持续升高，但无残留肿瘤迹象。提示131I-碘油可能是老年高危患者小肿瘤的首选治疗方法。
