Abstract
To evaluate the safety and effectiveness of computed tomography (CT)-guided percutaneous ethanol injection (PEI) for the treatment of hepatocellular carcinoma (HCC) not detectable with ultrasonography (US). Between April 1994 and January 2001, 51 patients with 57 HCC nodules not detectable with US underwent CT-guided transthoracic PEI. Complications associated with the transthoracic approach, effectiveness of transthoracic PEI, and prognosis of the patients were evaluated. Seventy-one PEI sessions were performed for 57 nodules. Complications included pneumothorax in 21 sessions (30%) for 19 nodules (33%), moderate pleural effusion in four sessions (6%) for four nodules (7%), and hemoptysis in three sessions (4%) for two nodules (4%). A chest tube was required for pneumothorax in five sessions (7%) for five nodules (9%), and pleural effusion drainage was performed in two sessions (3%) for two nodules (4%). Apparent tumor necrosis was noted at CT in 51 nodules (89%). During follow-up (range, 3 months to 5(1/2) years; mean, 29 months +/- 18 [SD]), local recurrence was seen in seven nodules (12%), three of which received repeat treatment with transthoracic PEI. Twenty-six patients survived, and 25 patients died of multiple tumors, ...Continue Reading
References
Nov 1, 1990·Journal of Gastroenterology and Hepatology·M EbaraY Kondo
Jan 1, 1988·AJR. American Journal of Roentgenology·G D FishS E Sutherland
Oct 1, 1988·AJR. American Journal of Roentgenology·E vanSonnenbergR F Mattrey
Apr 1, 1988·Chest·K S MillerS I Schabel
May 1, 1988·Radiology·E vanSonnenbergP J Friedman
Jul 1, 1983·AJR. American Journal of Roentgenology·S L DawsonJ T Ferrucci
Aug 1, 1984·Radiology·C C NeffN Papanicolaou
Dec 1, 1995·Radiology·C BartolozziP F Conte
Oct 1, 1995·Radiology·T LivraghiG Torzilli
May 1, 1993·AJR. American Journal of Roentgenology·S ShiinaA Terano
May 1, 1995·AJR. American Journal of Roentgenology·R MurakamiK Sagara
Mar 1, 1994·Cardiovascular and Interventional Radiology·R LencioniC Bartolozzi
Oct 1, 1994·Radiology·A L ZerbeyH C Hoover
Aug 1, 1996·AJR. American Journal of Roentgenology·D A GervaisP R Mueller
Nov 22, 1997·Journal of Thoracic Imaging·E H Moore
Jan 15, 1998·Journal of the National Cancer Institute·C NgelangelJ M Walboomers
Feb 19, 1998·Journal of Vascular and Interventional Radiology : JVIR·T ShibataJ Konishi
Apr 8, 1998·AJR. American Journal of Roentgenology·S RossiL Buscarini
Jul 29, 1998·Radiology·E H Moore
Sep 24, 1998·Surgical Endoscopy·Y YamashitaT Shirakusa
Jan 15, 1999·AJR. American Journal of Roentgenology·K OhmotoS Yamamoto
Apr 20, 1999·Radiology·T LivraghiG S Gazelle
Jul 16, 1999·Radiology·J E CoxR H Choplin
Sep 9, 1999·Radiology·S G SilvermanP F Judy
Nov 30, 1999·AJR. American Journal of Roentgenology·K TakayasuT Kobayashi
Nov 11, 1999·Surgical Endoscopy·M SatoK Kawachi
Dec 10, 1999·AJR. American Journal of Roentgenology·F LaurentR Marthan
Jan 11, 2000·AJR. American Journal of Roentgenology·D E DupuyH Safran
Aug 19, 2000·The American Journal of Gastroenterology·M SatoJ Ikezoe
Sep 28, 2000·The American Journal of Gastroenterology·H HorigomeM Itoh
Sep 30, 2000·Radiology·S RossiC Bartolozzi
Feb 13, 2001·Radiology·J P KoT C McLoud
Sep 6, 2001·Journal of the National Cancer Institute·F X BoschJ Cuzick
Citations
Aug 10, 2006·Cardiovascular and Interventional Radiology·Takuji YamagamiTsunehiko Nishimura
Apr 20, 2006·European Radiology·Lionel ArrivéJean-Michel Tubiana
Jul 30, 2003·Journal of Computer Assisted Tomography·Hong-Ming TsaiChiung-Yu Chen
Jul 22, 2006·Annals of Surgery·Kojiro TauraYasuyuki Shimahara
Mar 20, 2008·World Journal of Gastroenterology : WJG·Hitoshi MaruyamaOsamu Yokosuka
Jul 5, 2005·Radiology·Thierry de BaèreMichel Ducreux
Jan 31, 2012·Current Problems in Diagnostic Radiology·Abid IrshadSusan J Ackerman
Nov 5, 2004·Journal of Vascular and Interventional Radiology : JVIR·Toyomichi ShibataMasahiro Hiraoka
Mar 31, 2009·Journal of Vascular and Interventional Radiology : JVIR·Beom Jin ParkPyo Nyun Kim
Jun 9, 2007·Clinical Radiology·H MaruyamaH Saisho
Sep 15, 2005·Journal of Magnetic Resonance Imaging : JMRI·Young Jun KimDavid S K Lu
Sep 23, 2008·Liver International : Official Journal of the International Association for the Study of the Liver·Hitoshi MaruyamaOsamu Yokosuka
Nov 26, 2010·Gut and Liver·Jung Hyeok Kwon
Jun 20, 2006·European Journal of Radiology·Young Kon KimSu Bin Chon
Sep 1, 2007·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Melanie BlumJoachim Kettenbach
Nov 28, 2019·European Radiology·Toshiyuki KomakiSusumu Kanazawa
Sep 10, 2020·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Hitomi MaedaTakuji Yamagami
Mar 25, 2019·Journal of Medical Case Reports·Francesco D'AmicoUmberto Cillo
Mar 20, 2021·Frontiers in Oncology·Yanqiao RenPing Han