Online Journal
電子ジャーナル
IF値: 1.8(2022年)→1.9(2023年)

英文誌(2004-)

Journal of Medical Ultrasonics

一度このページでloginされますと,Springerサイト
にて英文誌のFull textを閲覧することができます.

cover

2000 - Vol.27

Vol.27 No.02

Case Report(症例報告)

(0139 - 0143)

手術不能の進行肝細胞癌に対し4回のPHoT単独施行により緩解をみた1例

Large Hepatocellular Carcinoma Well Controlled by Percutaneous Hot Saline Injection Therapy: A Case Report

春名 克純1, 川崎 俊彦1, 上尾 太郎1, 柴峠 光成1, 井谷 智尚1, 三村 純1, 小森 英司1, 藤堂 彰男1, 内田 浩也2, 東 貞之2, 橋本 公夫3

Yoshisumi HARUNA1, Toshihiko KAWASAKI1, Tarou UEO1, Mitsushige SHIBATOGE1, Toshinao ITANI1, Jun MIMURA1, Hideshi KOMORI1, Akio TODO1, Hiroya UCHIHDA2, Sadayuki AZUMA2, Kimio HASHIMOTO3

1西神戸医療センター消化器内科, 2西神戸医療センター腹部超音波室, 3西神戸医療センター病理科

1Gastroenterology Division Nishi-Kobe Medical Center, 2Abdominal Ultrasound Service Nishi-Kobe Medical Center, 3Pathology Division Nishi-Kobe Medical Center

キーワード : Chronic renal failure, Hepatocellular carcinoma, Intervensional ultrasonography, Percutaneous hot saline injection therapy

A 76-year-old man was admitted to this institution for further evaluation and treatment of a large solitary hepatic tumor that been detected incidentally by abdominal ultrasonography. The patient had suffered chronic renal failure. Blood urea nitrogen of 51 mg/dl and serum creatinine of 4.8 mg/dl ruled out CT and angiography for evaluation of the tumor. Ultrasound guided needle biopsy of the tumor yielded moderately differentiated hepatocellular carcinoma cells. Although serological markers for the hepatitis C virus were positive, GOT and GPT were normal, and he did not have liver cirrhosis. However, his other medical problems, including old myocardial infarction, angina pectoris, abdominal aortic aneurysm, old cerebral hemorrhage, and chronic renal failure, made it difficult to subject him to surgery. We thus performed percutaneous hot saline injection therapy (PHoT). Tumor size was remarkably reduced after four sessions, and he was released from the hospital. We conclude that PHoT may be useful in the treatment of large hepatocellular carcinomas.