[A case of hepatocellular carcinoma treated by the combined therapy of ultrasonic guided ethanol injection and transcatheter arterial embolization].

Reported is the case of a 72-year-old man admitted to hospital on February, 1986, because of a liver tumor. The patients laboratory data showed the following values: HBs Ag (-), ICG (R15) 34%, AFP 2650 ng/ml. A celiac angiogram revealed hypervascular tumor in the posterior lobe (s6), and a CT showed an intra-hepatic metastasis in the left lobe (s4). The diameters of these two lesions, measured ultra sound (US) were 50 mm (s6) and 30 mm (s4). These two lesions were treated by a US-guided ethanol injection with the posterior lesion also receiving by a transcatheter arterial embolization (TAE). After this combined therapy, serum AFP level decreased to 20 ng/ml and the two lesions became reduced in size. The patient has survived for two years though he is now receiving additional ethanol injection therapy for another metastasis lesion in the s5 region.