J Korean Radiol Soc.  1979 Dec;15(2):419-426. 10.3348/jkrs.1979.15.2.419.

Angiographic findings of hepatocellular carcinoma

• Han MC
• Cho BJ
• Huh SJ
• Bae SH
• Kim UJ

• KMID: 2349397
• DOI: http://doi.org/10.3348/jkrs.1979.15.2.419

Abstract

From March 1977 to July 1979, 69 cases of angiograms of hepatocellular carinoma were observed in Seoul National University Hospital. The findings of selective celiac and/or hepatic arteriography in total 69 cases of confirmed hepatocellular carcinoma, with clinical and laboratory findings, were analysed. The summarized results are as follows; 1. Among 69 cases of hepatoma, 62 were male and 7 were female with sex ratio of 8.9:1. Peak incidence is 5th 7th decades(72.5%). Epigastric pain, indigestion, and palpable mass in right upper quadrant were common symptoms and sign. Laboratory findings showed elevated serum alkaline phosphatase more than 5 Bodansky unitin 75.4%. Alpha-feto protein was positive in 65.2% of all the patients. 2. All 69 cases were classified into 31cases of massive type, 22 cases of diffuse type and 16 cases of nodular type, in accordance with angiographic gross anatomy. The frequency of angiographic findings were hypervascularities and tumor vessels (100%), tumor stainings (98.5%), arteriovenous shunt(71.0%), displacement of intrahepatic arteries (66.7%), vascular lakes andchannel(59.4%). Encasement of hepatic artery and portal vein were 6 cases and tumor mass in hepatic vein was 1case. 3. Intraarterial infusion of 5-FU was perfomed in 15 hepatoma patients, and the results were that angiographic improvement was demonstrated in 3 cases, no improvement in 8 cases, and incomplete infusion in 4cases. 4. The selective celiac and/or hepatic angiograms are excellent diagnostic tools as well as therapeutic management for intraarterial infusion of anticancerous drugs.

MeSH Terms

Alkaline Phosphatase
Angiography
Arteries
Carcinoma, Hepatocellular*
Dyspepsia
Female
Fluorouracil
Hepatic Artery
Hepatic Veins
Humans
Incidence
Infusions, Intra-Arterial
Lakes
Male
Portal Vein
Seoul
Sex Ratio
Alkaline Phosphatase
Fluorouracil