Georgi M, Freitag B
Rofo. 1980 Mar;132(3):287-93. doi: 10.1055/s-2008-1056566.
In 36 patients with clinical suspicion of liver tumours, pharmaco-angiography using adrenalin was added to the usual liver arteriography. In 31 of these patients rumour involvement of the liver was confirmed by surgery, laparoscopy or autopsy. In four out of ten patients with benign liver tumours, pharmaco-angiography lead to improved demonstration and therefore classification of the tumour. Four out of seven malignant primary tumours. Four out of seven malignant primary tumours of the liver were also better demonstrated by pharmaco-angiography. Amongst 14 patients with liver metastases, an improvement in the angiographic demonstration by pharmaco-angiography was achieved in nine. This was particularly the case in tumours showing tumour vessels. Neither benign nor malignant tumours showed constriction of their vessels as a result of pharmaco-angiography and this is therefore not able to differentiate between these. It was also found that tumours showing the the same histology could behave differently during pharmaco-angiography.
在36例临床怀疑患有肝脏肿瘤的患者中,除了常规的肝脏动脉造影外,还采用了肾上腺素进行药物血管造影。其中31例患者经手术、腹腔镜检查或尸检证实肝脏有肿瘤累及。在10例良性肝脏肿瘤患者中,有4例通过药物血管造影使肿瘤的显示得到改善,从而实现了肿瘤的分类。7例原发性恶性肝脏肿瘤中,有4例通过药物血管造影也得到了更好的显示。在14例有肝转移的患者中,9例通过药物血管造影使血管造影显示得到改善。在显示肿瘤血管的肿瘤中尤其如此。无论是良性肿瘤还是恶性肿瘤,药物血管造影均未导致其血管收缩,因此无法区分两者。还发现,具有相同组织学特征的肿瘤在药物血管造影过程中的表现可能不同。