PMID: 9186836May 1, 1997Paper

Significance of tumor vascularity as a predictor of long-term prognosis in patients with small hepatocellular carcinoma treated by percutaneous ethanol injection therapy

Journal of Hepatology
H ToyodaY Sone

Abstract

We estimated the significance of the vascularity of small hepatocellular carcinoma (HCC) as a predictor of long-term prognosis in patients treated with percutaneous ethanol injection therapy (PEIT/PEI). Fifty-four patients who have been followed-up in our hospital and who had HCC less than 20 mm in diameter were observed for 199 to 2074 days. Hepatic angiography (digital subtraction angiography; DSA and ultrasound angiography with intraarterial CO2 microbubbles; USAG) was performed before treatment in all cases, and the vascularity of the tumor was clinically evaluated. The survival rate was analyzed according to this vascularity. Of the 54 tumors, 24 had tumor stain on DSA, while 30 did not, and 38 showed enhancement on USAG, while 16 did not. The 3- and 5-year survival rates were 48.7 and 34.1% and 89.7 and 69.7% of patients with negative staining HCC (p = 0.0723). The rates were 48.6 and 36.7%, respectively, of patients with positive enhancement HCC on USAG, and both rates were 85.7% of patients with negative enhancement HCC (p = 0.0231). Tumor vascularity will play a role in the long-term prognosis of these patients with small HCC when they are treated with PEIT/PEI.

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Citations

Nov 28, 2002·Journal of Gastroenterology and Hepatology·Hitoshi KuriyamaMasafumi Ikeda
Mar 25, 2000·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Y TanakaM Hori
Nov 19, 2003·Journal of Endourology·Jamil RehmanRalph V Clayman
Oct 24, 2002·Journal of Clinical Gastroenterology·S Nahum Goldberg, Muneeb Ahmed
Oct 16, 2004·Liver International : Official Journal of the International Association for the Study of the Liver·Takashi KumadaSadanobu Ogawa
Mar 19, 2013·Ultrasound in Medicine & Biology·Qing LiuZheng Liu
Nov 27, 2004·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Margarita SalaUNKNOWN Barcelona Clínic Liver Cancer Group
Apr 1, 2009·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Claudio Maurizio PacellaRoberto Stasi
Jul 25, 2006·AJR. American Journal of Roentgenology·Kenichi TakayasuMichiie Sakamoto
Nov 1, 2020·Journal of Nuclear Medicine : Official Publication, Society of Nuclear Medicine·Lemonitsa H MammatasC Willemien Menke-van der Houven van Oordt

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