Abstract
We have performed selective celiac and superior mesenteric arteriography in the 55 consecutive cases by using Ödman's technic. Of 55 cases, 2 malignant hepatic tumors, 5 carcinomas of the biliary tract, 15 carcinomas of the pancreas, 12 gastric carcinomas, 1 malignant splenic tumor and 1 colonic carcinoma were included.
Angiographic diagnosis of tumor was made in 19 cases; that is, 1 primary hepatoma, 6 metastatic carcinomas of the liver, 3 carcinomas of the biliary tract, 7 carcinomas of the pancreas, 3 gastric carcinomas, 1 malignant splenic tumor and 1 colonic carcinoma, and the diagnosis was secured by exploration or autopsy.
Tumor vessels and tumor stain are the specific finding of the tumor, and displacement and distortion of vessels indicate the presence of a mass, Hepatomas are the rich vascular malignant neopiastic lesions, but carcinomas of the stomach, biliary tract and pancreas are relatively avascular.
In the portal hypertension, dilatation and distortion of the portal vein and the splenic vein are noticed on the venous phase of the arteriogram.
This method has been proved of aid in the diagnosis of the disease of the liver, biliary tract, pancreas, spleen, stomach, intestine and colon.
