Department of Radiology, Fukuiken Saiseikai Hospital, 7-1 Funabashi, Wadanaka-cho, Fukui 918-8503, Japan.
Cardiovasc Intervent Radiol. 2010 Jun;33(3):619-23. doi: 10.1007/s00270-009-9638-z. Epub 2009 Jul 16.
Transcatheter arterial chemoembolization (TACE) is effective for hepatocellular carcinoma (HCC) with intrabile duct thrombus. After TACE, intraductal tumor thrombi occasionally detach from the intrahepatic tumor and drop into the bottom of the common bile duct, causing clinical symptoms similar to the impaction of choledocholithiasis. The investigators describe three cases of sloughing of HCC intraductal tumor thrombi after selective TACE. In each of the three cases, the necrotic tumor cast was successfully removed endoscopically, and the patient's symptoms were dramatically improved. Two patients survived without recurrence of the intraductal tumor thrombus for 8 and 11 months after TACE, respectively.
经导管动脉化疗栓塞（TACE）对伴有胆管内癌栓的肝细胞癌（HCC）有效。TACE 后，胆管内肿瘤血栓偶尔会从肝内肿瘤上脱落并掉入胆总管底部，引起类似于胆石嵌顿的临床症状。研究人员描述了选择性 TACE 后 HCC 管内肿瘤血栓脱落的 3 例病例。在这 3 例患者中，均成功地通过内镜取出坏死的肿瘤栓子，患者症状明显改善。2 例患者在 TACE 后分别存活 8 个月和 11 个月，且胆管内肿瘤血栓无复发。
