| Classification of interventional radiology for portal vein tumor thrombus of hepatocellular carcinoma and its clinical application value |
| Received:November 30, 2019 Revised:December 26, 2019 Click here to download the full text |
| Citation of this paper:QU Xu-dong,ZHANG Wen,ZHANG Wei,YANG Guo-wei,LUO Jian-jun,LIU Rong,QIAN Sheng,WANG Jian-hua,YAN Zhi-ping.Classification of interventional radiology for portal vein tumor thrombus of hepatocellular carcinoma and its clinical application value[J].Chinese Journal of Clinical Medicine,2020,27(1):44-49 |
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| Author Name | Affiliation | E-mail | | QU Xu-dong | Department of Interventional Radiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Shanghai Institute of Medical Imaging, Shanghai 200032, China | | | ZHANG Wen | Department of Interventional Radiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Shanghai Institute of Medical Imaging, Shanghai 200032, China | | | ZHANG Wei | Department of Interventional Radiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Shanghai Institute of Medical Imaging, Shanghai 200032, China | | | YANG Guo-wei | Department of Interventional Radiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Shanghai Institute of Medical Imaging, Shanghai 200032, China | | | LUO Jian-jun | Department of Interventional Radiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Shanghai Institute of Medical Imaging, Shanghai 200032, China | | | LIU Rong | Department of Interventional Radiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Shanghai Institute of Medical Imaging, Shanghai 200032, China | | | QIAN Sheng | Department of Interventional Radiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Shanghai Institute of Medical Imaging, Shanghai 200032, China | | | WANG Jian-hua | Department of Interventional Radiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Shanghai Institute of Medical Imaging, Shanghai 200032, China | wang.jianhua@zs-hospital.sh.cn | | YAN Zhi-ping | Department of Interventional Radiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Shanghai Institute of Medical Imaging, Shanghai 200032, China | yan.zhiping@zs-hospital.sh.cn |
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| Abstract:Objective: To explore the classification of portal vein tumor thrombus of hepatocellular carcinoma (HCC) for interventional treatment. Methods: The dynamic enhanced CT or MR imaging features of patients with portal vein tumor thrombus of HCC were analyzed. The portal vein tumor thrombus was divided into 5 types (Ⅰ-Ⅴ) for interventional treatment, including 2 subtypes of type Ⅱ, 3 subtypes of type Ⅲ, and 2 subtypes of type Ⅳ. The patients of type Ⅰ-Ⅳ combined with hepatic arterioportal fistula were classified into type Ⅴ. Then the effect of transcatheter arterial chemoembolization (TACE) combined with portal vein tumor thrombus and radioactive iodine-125 seeds strip implantation was observed. Results: All cases were classified successfully, including 10.2% type Ⅰ, 17.1% type Ⅱ, 53% type Ⅲ, 19.6% type Ⅳ, and 16.2% type Ⅴ with hepatic arterioportal fistula. The portal vein perfusion was improved in 68 cases (93.1%). The follow-up of 1-3 months after operation showed that the tumor thrombus at the site of implantation of iodine-125 particles was significantly atrophic with effective thrombus control. Conclusions: The classification of interventional therapy for HCC complicated with portal vein tumor thrombus is helpful to guide the clinical formulation of individualized interventional therapy strategy, which is worthy of promotion. |
| keywords:carcinoma hepatocellular radiology interventional portal vein thrombus classification |
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