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肝动脉结扎、门静脉内灌注化疗及脾切除术治疗肝脾血管肉瘤

Hemangiosarcoma of liver and spleen treated by hepatic artery ligation, intraportal infusion chemotherapy, and splenectomy.

作者信息

Nagasue N, Ogawa Y, Inokuchi K

出版信息

Cancer. 1976 Sep;38(3):1386-90. doi: 10.1002/1097-0142(197609)38:3<1386::aid-cncr2820380343>3.0.co;2-1.

DOI:10.1002/1097-0142(197609)38:3<1386::aid-cncr2820380343>3.0.co;2-1
PMID:986237
Abstract

Hepatic artery ligation is useful as a palliation of irressectable hepatic tumors, but does not always produce a satisfactory result. Hepatic tumor with high vascularity is expected to respond more favorably. In this context, primary liver cell carcinoma and carcinoid tumor or leiomyosarcoma of the liver have been satistfactorily treated by hepatic artery ligation. A case is presented of hemangiosarcoma of theliver and spleen treated effectively by hepatic artery ligation, splenectomy, and postoperative intraportal infusion of 5-fluorouracil, as indicated by the regression of hepatic tumors on postoperative scanning and arteriograpms.

摘要

肝动脉结扎术对于无法切除的肝肿瘤的姑息治疗是有用的,但并不总是能产生令人满意的结果。预计血管丰富的肝肿瘤对其反应会更良好。在这种情况下,原发性肝细胞癌以及肝脏类癌或平滑肌肉瘤已通过肝动脉结扎术得到了满意的治疗。本文报告了一例肝脾血管肉瘤患者,通过肝动脉结扎术、脾切除术以及术后门静脉内输注5-氟尿嘧啶进行有效治疗,术后扫描和动脉造影显示肝肿瘤消退。

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