肝动脉化疗栓塞术治疗肝癌的临床与病理的联系

THE CLINICAL AND PATHOLOGICAL FEATURES OF RESECTED HEPATO ECE LLULAR CARCINOMA AFTER HEPATIC ARTERIAL CHEMOEMBOLIZATION

作者将9例肝动脉化疗栓塞术(HAE)后二期切除的肝癌标本,多处切片作病理检查,结合病人的临床过程分析HAE的治疗作用,肝癌包膜对HAE的影响,HAE的效果及HAE后手术的时机等。作者认为,HAE对肝癌的治疗效果是姑息性的,故HAE后应争取在30～60天内再手三术探查,争取切除肿瘤。否则,HAE后肝癌复发的可能性极大。

Nine specimens of resected hepatocellular carcinoma (HCC) after hepatic arterial chemoembolization (HAE) were histologically studied for comparision with their clinical features during the period of Jan 1987. to Jan 1991. Pathologically, extensive and homogeneous coagulative necrosis were found in the tumours. However, residual tumour cells were also seen with in and out side of the capsule of the tumours except in three cases, in which the tumor necrosed completely . The present study demonstrated that HAE was a palliative therapy for the majority of patients with HCC and it showed that unless the tumour can he resected after HAE. or the recurrence of the foci is very possible.