肝癌动脉化疗栓塞后肿瘤发展的CT研究

CT Studings of Development of Hepatic Cell Carcinoma After Hepatic Arterial Chemoembolization with Lipiodol

目的:评价肝癌肝动脉碘油抗癌药化疗栓塞后发展的CT表现并探讨其他有关因素。方法:搜集78例栓塞后CT复查发现肿瘤发展的病例进行分析。结果:搜集78例栓塞后肿瘤发展的CT表现如下:①原瘤灶边缘局部发展26例(33.3%);②原瘤灶边缘局部及肝内他处出现27例(34.6%);③肿瘤整个增大发展14例(17.9%);④肝内其他部分出现5例(6.4%);⑤肿瘤整个增大发展伴肝内其他处出现6例(7.7%)。结论:可通过观察栓塞后肿瘤边缘部碘油潴留形态判断疗效及栓塞后肿瘤生长情况。

Objecteve To assess CT manifestations and the relative factors of development of hepatic cancer(PHC) after hepatic arterial chemoembolization with lipiodol and anticancerous agents(Lp-HAE).Methods Tumor development in 78 cases with liver cancer after Lp-HAE Was discovered by follow-up CT examination.Results The CT manifestations included:①the growth of tumors located of the border of the original lesion were 26 cases(33.3 %);②development of the border of and the growth of tumors in other part of the liver 27 cases (34.6 %);③increase in the size of whole tumor were 14 cases (17.9 %);④the growth of tumors in other part of the liver were 5 cases(6.4 %);⑤increase in size of whole tumor and the growth of tumor in other part of the liver were 6 cases (7.7 %).Conclusion The authors were of the opinion that we can assess the therapeutic effect and growth of tumor after Lp-HAE according to the lipiodol depostion pattern on the border of the tumor after Lp-HAE for (PLC).