Naslov
Palliative treatment of hepatocellularcarcinoma with percutaneousethanol injection using tumors feeding artery occlusion under the ultrasonic color doppler guidance

Autori
Rustemović, Nadan ; Vucelić, Boris ; Opačić, Milorad ; Ostojić, Rajko ; Pulanić, Roland ; Petrovečki, Mladen ; Radanović, Branko ; Marinić, Jasna ; Pulanić, Dražen

Izvornik
Collegium Antropologicum (0350-6134) 28 (2004), 2; 781-791

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
hepatocellular carcinoma; percutaneous ethanol injection therapy; duplex color Doppler ultrasonography

Sažetak
We evaluate the efficacy of PEIT in patients with HCC using duplex color Doppler ultrasonography. The study included 27 HCC patients admitted to the University Hospital Centre Zagreb, between 1993 and 1997. PEIT was performed for ablation of tumor supplying vessels in HCCs of <5cm in diameter, and as a palliative measure for tumor feeding vessel obliteration in larger tumors. The efficacy of PEIT was evaluated with duplex color Doppler US, and controlled by dinamic CT scan (16 patients) or selective angiography of hepatic artery (11 patients). All patients had well vascularised tumors before PEIT, and after therapy 25 of them showed absent or minimal tumor vascularisation. Recanalisation of the tumor feeding vessel was detected with Doppler US within 9 months after therapy. Study results suggested that duplex color Doppler US should be the metod of choice in the evaluation of PEIT as well as in the follow-up of HCC patients after PEIT.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA