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经导管油化疗栓塞术治疗伴有门静脉右主支肿瘤血栓和动门脉分流的大肝细胞癌:1例存活7年以上患者的报告

Transcatheter oily chemoembolization for the treatment of large hepatocellular carcinoma with an accompanying tumor thrombus in the right main branch of the portal vein and arterioportal shunting: report of one patient still surviving after more than seven years.

作者信息

Inoue K, Akaji H, Nakamura H

机构信息

Department of Internal Medicine, Nishiyodo Hospital, Japan.

出版信息

Radiat Med. 1991 May-Jun;9(3):105-7.

PMID:1656485
Abstract

A patient having a large hepatocellular carcinoma with an accompanying tumor thrombus in the right main branch of the portal vein and arterioportal shunting was treated with transcatheter oily chemoembolization with adriamycin emulsion in Lipiodol plus Gelfoam. The whole right hepatic lobe regressed together with the tumor, and the tumor thrombus in the portal vein disappeared. The patient is still alive more than seven years after the treatment, with normal levels of alpha-fetoprotein. The response of this patient is interesting in discussing potential indications for therapy.

摘要

一名患有巨大肝细胞癌且伴有门静脉右主支肿瘤血栓和动静脉分流的患者接受了经导管用阿霉素脂质体乳剂加明胶海绵进行油性化疗栓塞治疗。整个右肝叶与肿瘤一起缩小,门静脉内的肿瘤血栓消失。该患者在治疗后存活了七年多,甲胎蛋白水平正常。该患者的反应对于讨论潜在的治疗适应症很有意义。

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Radiat Med. 1991 May-Jun;9(3):105-7.
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