Wakasa K, Sakurai M, Monden M, Yamada T, Kuroda C, Marukawa T, Okamura J
Department of Pathology, Osaka University Hospital, Japan.
Acta Pathol Jpn. 1988 Oct;38(10):1363-7. doi: 10.1111/j.1440-1827.1988.tb02287.x.
We describe a case of hepatocellular carcinoma in which a tumor embolus in the portal vein and 3 of 4 intrahepatic metastases were necrosed completely by Lipiodol transcatheter chemo-embolization (Lipiodol-TCE). Tumor emboli in the portal vein and intrahepatic metastases usually cannot be necrosed by conventional transcatheter chemo-embolization alone, because small nodules such as intrahepatic metastases and tumor emboli in the portal vein are supplied blood from the portal vein. However, in this case, Lipiodol-TCE was effective against tumor emboli in the portal vein and intrahepatic metastases.
我们描述了一例肝细胞癌病例，经肝动脉碘油化疗栓塞术（Lipiodol-TCE）后，门静脉内的肿瘤栓子及4个肝内转移灶中的3个完全坏死。门静脉内的肿瘤栓子和肝内转移灶通常无法仅通过传统的经导管化疗栓塞使其坏死，因为诸如肝内转移灶和门静脉内肿瘤栓子这类小结节是由门静脉供血的。然而，在该病例中，Lipiodol-TCE对门静脉内的肿瘤栓子和肝内转移灶有效。
