STUDY OF LONG SURVIVED HEPATOCELLULAR CARCINOMA BY TRANSHEPATIC ARTERIAL EMBOLIZATION (TAE)

Abstract

The prognosis was evaluated in 11 patients with hepatocellular carcinoma who survived for morethan 3 years after TAE. Nine of them are still alive. The longest follow up patients extended to 4 years and 4 months. Ten patients had a nodular type and six patients of them were less than 5cm. Portal obstruction was localized in the 2nd and 3rd branches. Lung metastsis was detected in one patient and daughter nodules were detected in seven patients. In two patients PTO was performed because of bleeding from esophago-cardial varices. The AFP level exceeded 100ng/ml in seven patients before TAE. In the Child classification, ten patients of them were classified as A. Gelatine sponge was used as an embolic material for all the cases, fuor patients of whom were combined with Lipiodol. Five patients of all performed repeated TAE at relatively short intervals, favorable prognosis was obtained. TAE that were combined with Lipiodol seemed effective for the management of collaterals that developed byfollowing TAE.