肝癌肝动脉化疗栓塞后肿瘤发展的CT研究

目的：评价肝癌肝动脉碘油抗癌药化疗栓塞后肿瘤发展的ＣＴ表现并探讨其有关因素。方法：搜集４５例栓后ＣＴ复查发现肿瘤发展的病例进行分析。结果：４５例栓后肿瘤发展的ＣＴ表现如下：（１）原瘤灶边缘局部发展１５例（３３．３％ ）；（２）肿瘤整个增大发展９例（２０％ ）；（３）肝内其它部分出现１例（２．２％ ）；（４）原瘤灶边缘部及肝内他处出现１６例（３５．６％ ）；（５）肿瘤整个增大发展伴肝内他处出现４ 例（９％ ）。结论：可通过观察栓后肿瘤边缘部碘油潴留形态判断疗效及栓后肿瘤生长情况。

CT Study of Development of Hepatic Cell Carcinoma After Hepatic Arterial Chemoembolization with Lipiodol

Objecteve:To assess the CT manifestations and the relative factors of development of liver cancer(LC) after hepatic arterial chemoembolization with lipiodol and anticancerous agents (Lp-HAE).Methods:Tumor development in 45 cases with liver cancer after Lp-HAE was discovered by follow-up CT examination.Results:The CT manifestations included:(1)the grouth of tumors located at the border of the original lesion were 15 cases(33.3%);(2)increase in the size of whole tumor was 9 cases(20%);(3)the growth of tumors in other part of the liver were 1 case(2.2%);(4)development of the border of tumor and the growth of tumors in other part of the liver were 16 cases(35.6%);(5)increase in size of whole tumor and the growth of tumor in other part of the liver were 4 cases(9%).Conclusion:The authors were of the opinion that we can assess the therapeutic effect and growth of tumor after Lp-HAE according to the lipiodol depostion pattern on the border of the tumor after Lp-HAE for LC.