Transcatheter hepatic artery embolization of liver cancer
10.3348/jkrs.1985.21.6.849
- Author:
Jong Tae LEE
;
Hyung Sik YOO
;
Jung Ho SUH
;
Heun Yung YUN
- Publication Type:Original Article
- MeSH:
Alanine Transaminase;
Aspartate Aminotransferases;
Carcinoma, Hepatocellular;
Colon;
Ethanol;
Fever;
Follow-Up Studies;
Gallbladder Neoplasms;
Gelatin Sponge, Absorbable;
Hepatic Artery;
Humans;
Leiomyosarcoma;
Liver Neoplasms;
Liver;
Nasopharyngeal Neoplasms;
Neoplasm Metastasis;
Reference Values
- From:Journal of the Korean Radiological Society
1985;21(6):849-857
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
From March 1985 to Sep.1985, Transcatheter hepatic arterial embolization was perfromed in 17 primary heptomaand 8 metstasis of liver in Department of Radiology, Yonsei University College of Medicine. Metastatic cancers ofliver were one nasopharyngeal cancer, one small bowel leiomyosarcoma, one gall bladder cancer and 5 colon cancers.The used embolization materials were the followings: Gelfoam particles for one primary hepatoma, 95% absoluteethanol for 4 patients, Ivalon(250-590micro m) for 19 patients and autologous blood clots for one metastasis, Theresults were summarized as the follows: 1. The devascularization of tumor vessels in post-emblization hepaticangiogram was complete in 6 primary hepatom and one metastasis and partial in 11 primary hepatoma and 7metastasis. 2. In the follow-up CT evaluation 3 to 4 weeks after embolization, well necrotic density was revealedin 8 primary hepatoma and one metastasis. 3. The complications were fever with higher than 38 degrees C(92%),abdominal pain (72%) and nausia or vomiting(40%). They were subsided wtihin one to 7 days after embolization. 4.In liver function study, sGOT and sGPT were elevated in 80% of total cases and returned to normal within 15 to 30days. LDH was variable. In 4 cases of absolute ethanol infusion, above liver enzymes were markedly elvated as 10times or more as normal range.
