Targeted transarterial oily chemoembolization for small foci of hepatocellular carcinoma using a unified helical CT and angiography system: analysis of factors affecting local recurrence and survival rates.

作者: Kenichi Takayasu , Yoshihisa Muramatsu , Tetsuo Maeda , Ryoko Iwata , Hiroyoshi Furukawa

DOI: 10.2214/AJR.176.3.1760681

关键词:

摘要: OBJECTIVE. We assessed the local recurrence rate after a single targeted transarterial oily chemoembolization for small hepatocellular carcinoma with unified helical CT and angiography system analyzed factors affecting survival Cox proportional hazards model.MATERIALS AND METHODS. For 54 consecutive patients 71 carcinomas (≤5 cm) no more than two associated lesions, was performed an emulsion of doxorubicin hydrochloride mixed iodized oil or suspension zinostatin stimalamer followed by gelatin sponge particles. When new lesion appeared, follow-up performed.RESULTS. 52 catheterization to subsegmental distal feeding artery could be performed. Local recognized in 33.2% at 1 year 37.8% 2 3 years. The significant that affected were tumor size (...

参考文章(37)
Charles Gardner Child, The liver and portal hypertension Saunders. ,(1964)
David R. Cox, Regression Models and Life-Tables Springer Series in Statistics. ,vol. 34, pp. 527- 541 ,(1992) , 10.1007/978-1-4612-4380-9_37
Norman B. Ackerman, Patricia A. Hechmer, The blood supply of experimental liver metastases. V. Increased tumor perfusion with epinephrine. American Journal of Surgery. ,vol. 140, pp. 625- 631 ,(1980) , 10.1016/0002-9610(80)90044-6
F. Xavier Bosch, Josepa Ribes, Ramon Cléries, Mireia Díaz, Epidemiology of Hepatocellular Carcinoma Clinics in Liver Disease. ,vol. 9, pp. 191- 211 ,(2005) , 10.1016/J.CLD.2004.12.009
P C Freeny, W M Marks, Computed tomographic arteriography of the liver. Radiology. ,vol. 148, pp. 193- 197 ,(1983) , 10.1148/RADIOLOGY.148.1.6304808
J W Chung, J H Park, J K Han, B I Choi, M C Han, H S Lee, C Y Kim, Hepatic tumors: predisposing factors for complications of transcatheter oily chemoembolization. Radiology. ,vol. 198, pp. 33- 40 ,(1996) , 10.1148/RADIOLOGY.198.1.8539401
K Takayasu, Y Shima, Y Muramatsu, N Moriyama, T Yamada, M Makuuchi, H Hasegawa, S Hirohashi, Hepatocellular carcinoma: treatment with intraarterial iodized oil with and without chemotherapeutic agents. Radiology. ,vol. 163, pp. 345- 351 ,(1987) , 10.1148/RADIOLOGY.163.2.3031724
Chikazumi Kuroda, Masami Sakurai, Morito Monden, Taro Marukawa, Takuya Hosoki, Koh Tokunaga, Kenichi Wakasa, Jun Okamura, Takahiro Kozuka, Limitation of transcatheter arterial chemoembolization using iodized oil for small hepatocellular carcinoma. A study in resected cases Cancer. ,vol. 67, pp. 81- 86 ,(1991) , 10.1002/1097-0142(19910101)67:1<81::AID-CNCR2820670116>3.0.CO;2-H