肾上腺动脉化疗栓塞治疗不能切除肿瘤的初步报告

本文报告肾上腺动脉内化疗栓塞治疗肾上腺肿瘤不能切除的结果，６例行化疗栓塞１９次，平均每例３次，最多６次，间隔１￣３月。供血主要来源于膈动脉，肾动脉上支，肝右动脉，或直接开口于腹主动脉。结果显示不论原发或转移肿瘤，血管丰富，染色明显。术后ＣＴ或Ｂ超随访，病灶前后对照明显缩小。６例患者至今仍存活。作者认为动脉内化疗栓塞对不宜手术的肾上腺肿瘤是有效的首选方法。

A Preliminary Report of Arterial Chemoembolization in the Treatment of Unresectable Adrenal Tumor

The effectiveness of arterial embolization as a treatment of unresectable adrenal tumors were evaluated. Total 6 cases recieved 19 treatments, with average of 3 treatments per patient. All of the patients were proved histologically by means of CT or US guided biopsy (3 primary, 3 metastatic tumor).The interval between each treatment ranged from 1 to 3 months (mean 46.7 days).Hypervascularily and obvious stain were found in both primary and metastatic lesions on angiogram.The arteries supplied mainly from right hepatic artery,upper branch of renal artery,or directly from abdominal artery etc.After the last treatment,follow-up examination revealed that the tumors were obviously decreased in size. All of the patients were survired with the longest of 4 years.The authors concluded that arterial chemoembolization is a fairly effective method for treatment of unresectable adrenal tumor.