肿瘤病变.pptVIP

Hepatocellular carcinoma fed by the parasitic omental branches artery: angiographic findings and interventional treatment Renjie Yang , Song Gao Peking University School of Oncology，Beijing Cancer Hospital Institute Department of Interventional Radiology Hepatocellular carcinoma precise therapy precise transarterial chemoembolization ablation： microwave ablation，radio-frequency ablation，laser ablation， High Intensity Focused Ultrasound (HIFU) cryo-ablation ethanol ablation，acetic acid ablation radioactive particle Individual combined therapy principle： first-visit responsibility，intergration conformity， evidence based medicine , Individual treatment---Tailor Background— Precise TACE TACE ---the most mature and effective treatment methods for non-surgical treatment HCC. The quality of TACE effect were not only associated with the tumor vessels embolization but also associated with full showing extrahepatic parasitic artery and precise TACE. Omental artery (OA) --- one of rare extrahepatic parasitic artery supplying HCC. Objective To analyse angiography manifestations and characteristics of HCC fed by omental artery (OA). To evaluate the feasibiliy、therapeutic effect and safety of TACE through the OAs. Methods 1,221 patients with HCC who had done interventional therapy between Jan. 1998 and Feb. 2008. 32 patients were found feeding not only hepatic A. but also by parasitic OAs were enrolled in the study. 19 patients were performed TACE with microcatheter through OAs. Methods The OAs incidence rate, successful rate of superselective catheterization were reported. Reaction after TACE via the OA was evaluated. The cumulative survival rates（6、12、18 and 24 months）of 19 patients who performed successfully chemo-embolization through OAs and the other 13 failed cases were calculated respectively. RESULT-1 1,221 cases performed 3,639 interventional procedures. 32 cases were found parasitic OA, frequency: 2.62%（3