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  • 1
    ISSN: 1432-1084
    Keywords: Hepatocellular carcinoma ; Iodized oil ; Doxorubicin ; Arterial chemotherapeutic embolization
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Segmental arterioportal chemoembolization via hepatic artery with overflow to the segmental portal vein was performed in 41 patients with hepatocellular carcinoma. Emulsion of doxorubicin (mean 37 mg) and two-to-three volume of iodized oil (mean 11 ml) was infused from a segmental artery of the liver until the segmental portal branches around the tumor were visualized fluoroscopically. By the iodized oil accumulation, the tumors were divided into five types: single nodular (SN); single nodular with proliferation (SN-P); multinodular fused (MN-F); multinodular (MN); and massive. Massive and MN types showed high incidence of local recurrence. However, SN-P and MN-F types showed a good tumor response and no local recurrence. In 32 unresected cases the overall response rate was 53%, the 1-year actuarial survival was 90% and 3-year survival was 43%. Six of nine operative specimens revealed complete necrosis of the tumor microscopically and three showed 90–95% necrosis. Thick fibrous capsules were found in all nine resected cases around the necrosis both of the tumor and of the non-cancerous parenchyma. This therapy was regarded as having a great capacity to kill the infiltrative portion of localized tumor and the thick capsule may be a peculiarity of this therapy which played a major role in guarding against regrowth of the tumor.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-2307
    Keywords: Small hepatocellular carcinoma ; Hepatoma ; Liver neoplasms ; Pathology
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary We studied the pathological findings in 28 small hepatocellular carcinomas (less than 5 cm in diameter), especially the mode of invasion. Seventeen of the 28 lesions were encapsulated. Capsular invasion was present in 14 of the 17 encapsulated tumours. Vascular invasion was found in 12 of the 28 tumours. The small hepatocellular carcinoma, even when encapsulated, frequently invaded blood vessels and adjacent liver tissue, in spite of frequent vascular invasion, distant metastasis was seen in only 1 of the 28 tumours.
    Type of Medium: Electronic Resource
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