Ishikawa T, Eguchi H, Mitsugi O, Iimura Y, Kakuta T, Sugahara K
First Dept. of Surgery, Yamanashi Medical College.
Gan To Kagaku Ryoho. 1989 Aug;16(8 Pt 2):3036-40.
Transcatheter hepatic arterial chemo-lipiodolization (TAC), using totally implantable reservoir, was performed for the treatment of liver metastasis from colorectal cancers in three cases of H1 (metastasis in one lobe only, n = 10), in 3 cases of H2 (a few scattered metastases in both lobes, n = 7), and in 2 cases of H3 (numerous metastases in both lobes, n = 9). We performed TAC in H1 cases after resection of liver tumor. We found a recurrence on lipiodol CT 2 months later in 1 case of H1. The metastatic tumor responded to TAC in two patients of H2 (1 case completely), but no response was observed in H3 cases. The present study suggested the effectiveness of TAC in cases H1 and H2, but further study is needed for cases of H3.
对3例H1期（仅一个肝叶转移，共10例）、3例H2期（两叶有少数散在转移，共7例）和2例H3期（两叶有大量转移，共9例）的结直肠癌肝转移患者，采用完全植入式贮器行经导管肝动脉化疗-碘油栓塞术（TAC）。我们对H1期患者在肝肿瘤切除后进行TAC。2个月后，1例H1期患者在碘油CT检查时发现复发。H2期的2例患者（1例完全缓解）的转移瘤对TAC有反应，但H3期患者未观察到反应。本研究提示TAC对H1期和H2期病例有效，但H3期病例需要进一步研究。
