Percutaneous alcohol injection of portal thrombosis in hepatocellular carcinoma: a new possible treatment
| Autor: | Grigioni W, A. Mazziotti, Gabriele Sangalli, Tito Livraghi, C Vettori |
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| Rok vydání: | 1990 |
| Předmět: |
Male
Cancer Research medicine.medical_specialty Percutaneous Carcinoma Hepatocellular Drug Administration Schedule 030218 nuclear medicine & medical imaging 03 medical and health sciences Necrosis 0302 clinical medicine Text mining medicine Humans Contraindication Ultrasonography Ethanol business.industry Portal Vein Liver Neoplasms Thrombosis General Medicine Middle Aged medicine.disease digestive system diseases Surgery Portal thrombosis Oncology 030220 oncology & carcinogenesis Hepatocellular carcinoma Injections Intravenous Female Radiology business |
| Zdroj: | Tumori. 76(4) |
| ISSN: | 0300-8916 |
| Popis: | Hepatocellular carcinoma (HCC) with portal thrombosis is usually regarded as a contraindication for surgery and for percutaneous alcohol injection (PAI). For palliative purposes we used PAI in 4 patients with infiltrative HCC and segmental portal thrombosis. Ethanol, injected directly into the thrombus, diffused mostly along it. No complications emerged after 20 injections. In the first patient, who later a liver transplant, the thrombus was completely necrotic. In the other patients, biopsies yielded only necrotic material: in two cases, progression of the thrombus was stopped at 4 and 12 months of follow-up, and in one case the thrombus shrank and remained as such 13 months later. This preliminary experience might broaden the scope of treatment for HCC. |
| Databáze: | OpenAIRE |
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