Necrosis of portal tumor embolus of hepatocellular carcinoma by lipiodol transcatheter chemo-embolization. A case report.
We describe a case of hepatocellular carcinoma in which a tumor embolus in the portal vein and 3 of 4 intrahepatic metastases were necrosed completely by Lipiodol transcatheter chemo-embolization (Lipiodol-TCE). Tumor emboli in the portal vein and intrahepatic metastases usually cannot be necrosed by conventional transcatheter chemo-embolization alone, because small nodules such as intrahepatic metastases and tumor emboli in the portal vein are supplied blood from the portal vein. However, in this case, Lipiodol-TCE was effective against tumor emboli in the portal vein and intrahepatic metastases.
Wakasa
K
K
Department of Pathology, Osaka University Hospital, Japan.
Sakurai
M
M
Monden
M
M
Yamada
T
T
Kuroda
C
C
Marukawa
T
T
Okamura
J
J
D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000473:pathology / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000379:methods; D006801:Humans; D007459:Iodized Oil / Q000627:therapeutic use*; D008099:Liver / Q000098:blood supply; D008113:Liver Neoplasms / Q000473:pathology / Q000628:therapy*; D008297:Male; D009336:Necrosis; D009360:Neoplastic Cells, Circulating / Q000473:pathology*; D011169:Portal Vein / Q000473:pathology*
D007459:Iodized Oil