Hepatocellular carcinomas with cavernous transformation of the portal vein

Author: Heung Suk SEO ; Seung Ro LEE ; Chang Kok HAHM
Publication Type:Original Article
MeSH: Carcinoma, Hepatocellular; Portal Vein; Thrombosis
From:Journal of the Korean Radiological Society 1985;21(5):772-776
CountryRepublic of Korea
Language:Korean
Abstract: Twenty cases of hepatocelluar carcinoma were examined by selective celiac and superior mesentericarteriography. Obstruction of the main portal vein due to tumor thrombus was revealed in 7 cases and 3 of thesecases had carvenous transformation of the protal vein(CTPV). The authors intended in this study to evaluate CTPVgroup and non-CTPV group clinically and radiologically. The results obtained are as follows; 1. The duration ofillness was shorter in CTPV group than non-CTPV group. 2. There was no significant difference in tumor sizebetween two groups, and main portion of tumor was located in the right lobe in both groups. 3. Arterioportal shuntwas present in 2 of 4 cases in non-CTPV group, but was no present at all in CTPV group. 4. Hepatofugal collateralsof portal vein were developed in all but one in both groups. 5. There was no significant difference in bloodchemistry between two groups. 6. CTPV may play an important role maintain the hepatic blood flow.