[Interventional radiology in the treatment of primary and metastatic liver cancer].
The data available in the literature and the authors' own treatment outcomes in 600 patients with primary and metastatic carcinoma of the liver (in 1983-1996) were analyzed. Systemic or intravascular therapy as regional drug infusion, embolization, chemoembolization of the hepatic artery (CEHA) and portal vein (CEPV) was performed in unresectable cases. Whether pre- and postoperative chemoembolization was evaluated in resectable tumors. It is concluded that X-ray endovascular interventions play an important role in the treatment of malignant hepatic tumors. Transcatheter CEHA alone and in combination with CEPV is the most effective current treatments of unresectable carcinoma of the liver. In some patients, preoperative CEHA makes it possible to remove the tumor previously considered to be unresectable. Resection in combination with adjuvant CEHA and CEPV reduces the incidence of postoperative recurrences. The combined approach to treating malignant hepatic neoplasms expands the possibilities of delivering care to patients and improving late outcomes.
Central Research X-Ray Radiological Institute, Ministry of Health, Saint Petersburg.
A M
AM
Granov
P G
PG
Tarazov
D A
DA
Granov
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D016461:Chemoembolization, Therapeutic / Q000379:methods; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic / Q000379:methods; D006498:Hepatectomy; D006499:Hepatic Artery / Q000000981:diagnostic imaging; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000401:mortality / Q000556:secondary* / Q000628:therapy*; D011169:Portal Vein / Q000000981:diagnostic imaging; D011182:Postoperative Care / Q000379:methods; D011300:Preoperative Care / Q000379:methods; D015641:Radiography, Interventional / Q000379:methods
Interventsionnaia radiologiia v lechenii pervichnogo i metastaticheskogo raka pecheni.