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先天性肝外门体分流(阿伯内西畸形)背景下发生的肝细胞癌的放射性栓塞治疗

Radioembolization for Hepatocellular Carcinoma Arising in the Setting of a Congenital Extrahepatic Portosystemic Shunt (Abernethy Malformation).

作者信息

Kroencke Thomas, Murnauer Marcus, Jordan Frank Alexander, Blodow Vera, Ruhnke Hannes, Schaller Tina, Märkl Bruno

机构信息

Department of Diagnostic and Interventional Radiology and Neuroradiology, Klinikum Augsburg, Stenglinstraße 2, 86156, Augsburg, Germany.

Department of General, Visceral and Transplant Surgery, Klinikum Augsburg, Augsburg, Germany.

出版信息

Cardiovasc Intervent Radiol. 2018 Aug;41(8):1285-1290. doi: 10.1007/s00270-018-1965-5. Epub 2018 Apr 19.

Abstract

In a 50-year-old male with an incidentally discovered hepatocellular carcinoma, a congenital extrahepatic portosystemic shunt with the absence of the portal vein (Abernethy syndrome) was diagnosed by imaging. This study aims to discuss the variant anatomy relevant to this splanchnic vascular malformation, review its association with the development of liver neoplasms, and report the safety and efficacy of TARE followed by resection for a HCC arising in this rare condition.

摘要

在一名偶然发现肝细胞癌的50岁男性患者中,通过影像学检查诊断出先天性肝外门体分流伴门静脉缺如(阿伯内西综合征)。本研究旨在探讨与这种内脏血管畸形相关的变异解剖结构,回顾其与肝脏肿瘤发生的关联,并报告在这种罕见情况下,经动脉化疗栓塞(TARE)后行肝切除术治疗肝细胞癌的安全性和有效性。

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