Investigation of TAE in hepatoma studied by its embolic effects and prognosis

概要

論文の詳細を見る
132 patients with hepatoma complicating liver cirrhosis were subjected to the transcatheter arterial embolization (TAE). Gelfoam sponge was used as embolic material. The embolic effects were evaluated by means of computed tomography, follow-up angiography and serum AFP level.<BR>As a results, the tumor was reduced in size and the attenuation coefficients of the tumor in CT was decreased (10-20HU) suggesting the ischemic necrosis of the tumor cells.<BR>Serum AFP level was decreased remarkably after TAE. The degree of the tumor necrosis was well correlated with the exsistence of the tumor capsule and the degree of vascularity in angiographic findings, The prognosis was mainly depended on the size of tumor, complicated liver cirrhosis and the degree of portal obstruction by tumor invasion into the portal vein. One year survival rate was 43.5% and two years was 30.3%.