title: Transarterial Ethanol Ablation Combined with Transarterial Chemoembolization for Hepatocellular Carcinoma with Portal Vein Tumor Thrombus.
abstract: BACKGROUND
  The prognosis for hepatocellular carcinoma (HCC) with portal vein tumor thrombosis (PVTT) is extremely poor.
  
  
  OBJECTIVE
  This study aimed to evaluate the safety and effectiveness of transarterial ethanol ablation (TEA) for the treatment of HCC with PVTT.
  
  
  METHODS
  Patients were treated with TEA for PVTT under cone-beam computed tomography and traditional transarterial chemoembolization (TACE) with epirubicin for intrahepatic lesions.
  
  
  RESULTS
  Seventeen men were successfully treated with TACE plus TEA. The mean overall survival was 18.3 ± 9.0 months (95% CI: 13.7 - 3.0 months). The quality of life (QoL) score increased from 56.9 ± 15.7 before the procedure to 88.5 ± 11.7 at 4 weeks after the procedure. Lipiodol accumulation grades of 3, 2, 1, and 0 were obtained in 3 (17.6%), 8 (47.1%), 6 (35.3%), and 0 (0%) patients, respectively.
  
  
  CONCLUSIONS
  TEA is a safe and effective method for treating patients with PVTT, offering advantages for QoL, response rate after TEA, and OS.
authors: Department of Abdominal Oncology, Cancer Center and State Key Laboratory of Biotherapy, West China Hospital, West China Medical School, Sichuan University, Chengdu, China.
authors: Biao
authors: B
authors: Yang
authors: Department of Abdominal Oncology, Cancer Center and State Key Laboratory of Biotherapy, West China Hospital, West China Medical School, Sichuan University, Chengdu, China.
authors: Xin
authors: X
authors: You
authors: Psychiatry Centre, West China Hospital, West China Medical School, Sichuan University, Chengdu, China.
authors: Min Lan
authors: ML
authors: Yuan
authors: Chinese Evidence-Based Medicine Centre, West China Hospital, West China Medical School, Sichuan University, Chengdu, China.
authors: Tian Qiang
authors: TQ
authors: Qin
authors: Department of Radiology, West China Hospital, West China Medical School, Sichuan University, Chengdu, China.
authors: Lin Jia
authors: LJ
authors: Duan
authors: Department of Radiology, West China Hospital, West China Medical School, Sichuan University, Chengdu, China.
authors: Jiao
authors: J
authors: He
authors: Department of Radiology, West China Hospital, West China Medical School, Sichuan University, Chengdu, China.
authors: Ze Jun
authors: ZJ
authors: Fei
authors: Department of Radiology, West China Hospital, West China Medical School, Sichuan University, Chengdu, China.
authors: Xuan
authors: X
authors: Zhou
authors: Department of Abdominal Oncology, Cancer Center and State Key Laboratory of Biotherapy, West China Hospital, West China Medical School, Sichuan University, Chengdu, China.
authors: Rui Yu
authors: RY
authors: Zan
authors: Department of Abdominal Oncology, Cancer Center and State Key Laboratory of Biotherapy, West China Hospital, West China Medical School, Sichuan University, Chengdu, China.
authors: Zheng Yin
authors: ZY
authors: Liao
keywords: Cone-Beam Computed Tomography; Ethanol; Hepatocellular Carcinoma; Portal Vein Tumor Thrombosis; Transarterial Ethanol Ablation