Hamazaki K, Mimura H, Miyashima T, Gouchi A, Orita K, Irisawa M, Hiraki Y
First Department of Surgery, Okayama University Medical School, Japan.
Acta Med Okayama. 1990 Jun;44(3):155-9. doi: 10.18926/AMO/30460.
A case of hepatocellular carcinoma is reported in which the main tumor, intrahepatic metastases and a tumor thrombus in the portal vein were necrotized completely after Lipiodol chemoembolization. In this case, the tumor thrombus seemed to act as a portal embolus. This phenomenon is interesting because Lipiodol chemoembolization alone usually can not necrotize intra- or extra-capsular invasion, intrahepatic metastasis or tumor thrombus in the portal vein. This case is considered to be suggestive of a possible therapy for hepatocellular carcinoma.
报告了一例肝细胞癌病例，经碘油化疗栓塞后，主要肿瘤、肝内转移灶及门静脉内的瘤栓完全坏死。在该病例中，瘤栓似乎起到了门静脉栓子的作用。这种现象很有趣，因为单纯碘油化疗栓塞通常无法使包膜内或包膜外侵犯、肝内转移或门静脉内的瘤栓坏死。该病例被认为提示了一种可能的肝细胞癌治疗方法。
