:Evaluation in Comparison with Hepatic Artery Infusion Chemotherapy

概要

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Fifty patients with hepatocellular carcinoma were treated by transcatheter arterial embolization (TAE) alone without combined hepatic artery infusion chemotherapy.The effect and indication of TAE therapy were investigated in comparison with those of the one-shot injection therapy using Mitomycin C through a catheter introduced into the hepatic artery (Chemotherapy). (1) The one year survival rete (34.6%) with TAE therapy was higher than that (18.2%) with Chemotherapy. (2) The response rate (64.0%) with TAE judged from the criteria based on changes of clinical findings after the therapy was higher than that (38.1%) with Chemotherapy. (3) It was concluded that TAE was effective for hepatocellular carcinoma when indication was limited to the cases with a tumor extention smaller than 60%, no portal vein occlusion distal to the 2nd order branches, serum total bilirubin_??_5.0mg/dl, serum GOT_??_200I. U. and no ascites.
財団法人日本消化器病学会の論文