Percutaneous injection of adriamycin-lipiodol emulsion into hepatocellular carcinoma tumor nodules demonstrates lymph vessels connecting the tumor and the regional lymph nodes.
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概要
- 論文の詳細を見る
Adriamycin-Lipiodol emulsion (ADR-LIP) was injected, percutaneously via a 20 gauge needle with ultrasonographic guidance, as part of the treatment of 4 patients with relatively small hepatocellular carcinoma (HCC). Lymph vessels extending from the tumor nodule to the abdominal lymph nodes were imaged immediately after the injection in 3 patients. Subsequent plain films of the abdomen and abdominal computed tomography demonstrated stagnant collections of ADR-LIP in the abdominal lymph nodes. Histologic examination of lymph nodes removed during partial hepatectomy or at autopsy in these cases revealed many large and small fat droplets, thought to be Lipiodol, as well as macrophages containing phagocytized lipid. Although lymphatic metastasis occur in HCC, these findings suggest that lymphatics may exist in HCC tissue during the relatively early stages of tumor growth.
- 久留米大学医学部 The Kurume Medical Journal 編集部の論文
著者
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Kojiro Masamichi
Department Of Gastroenterology And Hepatology Kinki University School Of Medicine
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Ohishi Kiroku
Department Of 2nd Surgery Kurume University School Of Medicine
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Nakayama Toshimichi
Department Of Surgery Shizuoka Red Cross Hospital
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Yoshida Kouji
Department Of Apple Research National Institute Of Fruit Tree Science
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Yoshida Hiroaki
Department Of Aeronautics And Astronautics Graduate School Of Engineering Kyoto University
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Saitsu Hideki
Department Of Surgery Clinical Research Institute Kyushu Medical Center National Hospital Organization
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OHISHI KIROKU
Departments of Surgery, Kurume University School of Medicine
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YOSHIDA KOUJI
Department of Surgery, Kurume National Hospital
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TANIWAKI SATORU
Departments of Surgery, Kurume University School of Medicine
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YOSHIDA HIROAKI
Departments of Surgery, Kurume University School of Medicine
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