Hepatocellular carcinoma: transcatheter arterial chemoembolization of the gonadal artery.
Over the past 9 years, the authors have identified gonadal arteries supplying hepatocellular carcinoma in seven of 4,438 patients (0.16%) whom they attempted to treat by transcatheter arterial chemoembolization. All seven patients had tumors in the Couinaud segment 6 (S6) of the liver (mean size, 6.8 cm). The gonadal arteries in all seven patients showed anatomic variations, including a high origin (n = 3) and a common trunk with the adrenal artery (n = 4). The gonadal artery with anatomic variation may supply hepatocellular carcinomas located in liver S6.
Kim
Hyo-Cheol
HC
Department of Radiology, Seoul National University College of Medicine, #28 Yongon-dong, Chongno-gu, Seoul, 110-744, Korea.
Chung
Jin Wook
JW
Jae
Hwan Jun
HJ
Lee
Whal
W
So
Young Ho
YH
Park
Jae Hyung
JH
D000328:Adult; D000368:Aged; D015901:Angiography, Digital Subtraction; D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging / Q000628:therapy*; D016461:Chemoembolization, Therapeutic / Q000379:methods*; D004317:Doxorubicin / Q000008:administration & dosage; D005260:Female; D006066:Gonads / Q000098:blood supply*; D006801:Humans; D007459:Iodized Oil / Q000008:administration & dosage; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D015641:Radiography, Interventional; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D007459:Iodized Oil; D004317:Doxorubicin