Evaluation the effectiveness of the extrahepatic arterial chemoembolization on treatment of hepatocellular carcinoma in Radiology center of Bach Mai Hospital

Dr Tran Duc Huy1, Professor Pham Minh Thong2, Dr Vu Dang Luu1, Dr Trinh Hà Chau1
1 Hanoi Medical University
2 Radiology Center, Disease Bach Mai Institute

Main Article Content

Abstract

Purpose: Evaluation the effectiveness of the extrahepatic arterial chemoembolization on treatment of hepatocellular carcinoma.
Subjects and methods: There is a non-controlled prospective intervention study in HCC patients with tumors which had blood supply from extrahepatic arteries from July 2019 to August 2020 in Radiology center of Bach Hospital.
Results:. Our study was performed on 56 patients including 48 men (85.7%) and 8 women (14.3%) who were diagnosed with HCC. The mean age were 58.29 ± 10,849 years old. The rate of successful approaching to the extrahepatic vessel branches was 83.05%. There were 2 patients (3.58%) had acute complications during and immediately after intervention. Special complications related directly to the extra-hepatic embolization were observed in 14 patients (25%). After an average of
2.25 ± 0.919 months of follow-up, 1 patient (1.8%) re-examined due to rupture of liver tumor, the remaining 55 patients (98.2%) were reexamined by appointment. The results of tumor response according to mRECIST with complete response, partial response, stable disease and progressive disease were 3.6%, 52.7%, 25.5%, and 18.2% respectively.
Conclusion: The results of the extrahepatic arterial chemoembolization in our study had high rates of the successful
approaching to the extrahepatic vessel branches, the intervention safety and the post-intervention tumor response.

Article Details

References

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