Nicolini A, Saccheri S, Lovaria A, Maggi A, Cazzaniga M, Panzeri A, Salerno F
Servizio di Radiologia dell'Istituto di Ricerca e Cura a Carattere Scientifico (IRCCS) Policlinico, Italy.
Ital J Gastroenterol. 1996 Jun;28(5):269-71.
Variceal bleeding and hepatocellular carcinoma are two severe complications of cirrhosis. One of our patients who bled from oesophageal varices was found to have a malignant hepatic nodule. As the patient refused liver transplantation, a transjugular intrahepatic portosystemic stent was carried out for portal hypertension, and transcatheter arterial chemoembolization for cancer. Both procedures were successful and one year later liver function has not deteriorated. This case shows that intrahepatic stent placement and selective arterial chemoembolization can be safely performed in cirrhotic patients with a solitary hepatocarcinoma nodule and a good liver function reserve.
静脉曲张破裂出血和肝细胞癌是肝硬化的两种严重并发症。我们有一位因食管静脉曲张出血的患者被发现有一个恶性肝结节。由于患者拒绝肝移植，于是对其进行了经颈静脉肝内门体分流支架置入术以治疗门静脉高压，并对癌症进行了经导管动脉化疗栓塞术。这两种手术均获成功，一年后肝功能并未恶化。该病例表明，对于有孤立性肝癌结节且肝功能储备良好的肝硬化患者，可以安全地进行肝内支架置入和选择性动脉化疗栓塞术。
