CLINICAL, PARACLINICAL AND IMAGING CHARACTERISTICS OF HEPATOCELLULAR CARCINOMA PATIENTS UNDERGOING ULTRASELECTIVE CONVENTIONAL TRANSARTERIAL CHEMOEMBOLIZATION INTERVENTION AT NATIONAL CANCER HOSPITAL

Ngô Quốc Bộ1, Nguyễn Trung Kiên1, Đặng Đình Phúc1, Nguyễn Xuân Hiền2, Ngô Tuấn Minh3, Nguyễn Xuân Khái3,
1 Tân Triều Brach of National Cancer Hospital
2 Tâm Anh Hospital
3 Military Hospital 103

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Abstract

Objectives: To describer some Clinical, Paraclinical and imaging Characteristics of hepatocellular carcinoma patients undergoing ultraselective conventional transarterial chemoembolization intervention at National Cancer Hospital- Tan Trieu, from September 2021 to June 2022. Subjects   and   research   methods: Uncontrolled clinical trials study on 50 patients with confirmed diagnosis of hepatocellular carcinoma who received ultra-selective chemotherapy embolization.  Results: (1) Average age of study subjects 61.56 ± 9.57; male to female ratio: 11.5/1; history of hepatitis B was 82%. (2) Pre-intervention AFP rate < 20 ng/ml accounted for 40.0%. (3) Imaging features: Right lobe tumor (78.0%), lesion 01 accounted for 68.0%, average tumor size was 27.58 ± 11.28 mm; 98.0% of tumors had reduced in density and strongly enhanced on computed tomography 72.0%; high degree of angiogenesis on DSA was 74.0%. (4) The source of blood vessels supplying the tumors: came from the right hepatic artery 78.0%, from the extrahepatic arteries: the right inferior diaphragmatic artery 12.0%. Conclusion: The age of hepatocellular carcinoma patients was mostly middle-aged, male accounted for the majority, has a history of hepatitis B; a small percentage did not increase AFP before intervention. The majority of tumors were in the right lobe of the liver, decreased in density and strongly enhanced, and had a high degree of angiogenesis on computed tomography and DSA. The source of the artery supplying the tumors: most of the right hepatic artery, from the extrahepatic artery, the right inferior diaphragmatic artery was common.

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References

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