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Interventional treatment of huge hepatic cavernous hemangioma
Authors:CAO Xicai  HE Nengshu  SUN Jianzhong  WANG Song  JI Xunming  WANG Jinsheng  ZHANG Changlin  YANG Jianguo  LU Tiwen  LI Jianhua  ZHANG Guohua
Affiliation:Department of Radiology, General Hospital, Tianjin Medical University,Tianjin 300052, China;Department of Radiology, General Hospital, Tianjin Medical University,Tianjin 300052, China;Department of Radiology, General Hospital, Tianjin Medical University,Tianjin 300052, China;Department of Radiology, General Hospital, Tianjin Medical University,Tianjin 300052, China;Department of Radiology, General Hospital, Tianjin Medical University,Tianjin 300052, China;Department of Radiology, General Hospital, Tianjin Medical University,Tianjin 300052, China;Department of Radiology, General Hospital, Tianjin Medical University,Tianjin 300052, China;Department of Radiology, General Hospital, Tianjin Medical University,Tianjin 300052, China;Department of Radiology, General Hospital, Tianjin Medical University,Tianjin 300052, China;Department of Radiology, General Hospital, Tianjin Medical University,Tianjin 300052, China;Department of Radiology, General Hospital, Tianjin Medical University,Tianjin 300052, China
Abstract:
Objective To study the methods of interventional treatment of huge hepatic cavernous hemangioma (HCH). Method A total of 14 patients with HCH were treated with lipiodol-ultrafluid (10-15 ml), bleomycin A (PYM 16-32 mg), and gelatin-sponge particles. Results DSA hepatic arteriography showed multiple vascular lakes in the early arterial phase, so-called 'to hang the fruits on the branches', which persisted for a long time. CT scan showed a significant reduction in tumor size in 8 of the 14 patients after the treatment.Conclusion Embolization with lipiodol-ultrafluid, PYM and gelatin sponge particles is one of the best methods for the treatment of HCH.
Keywords:liver   cavernous   hemangioma    treatment
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