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CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2019; 03(03): S20
DOI: 10.1055/s-0041-1730573
Abstract

Assessment of Arterial Supply and Response to Trans Arterial Therapy of Caudate Lobe Hepatocellular Carcinoma: A Retrospective Single Institution Study

Authors

  • Emad Samhan Alrasheed

    King Abdulaziz Medical City, Riyadh, Saudi Arabia

  • Mohammad Arabi

    King Abdulaziz Medical City, Riyadh, Saudi Arabia
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Background: To retrospectively study the angiographic supply of HCC located in caudate lobe and evaluate the response rate after trans arterial chemo embolization or trans arterial radio embolization. Method(s): A total of 12 patients (M:F=10:2) with mean age of 65 with caudate lobe HCC. Nine patients (75%) had solitary lesion and 3 patients (25%) had 2 lesions. Patients were treated with TACE (n= 5) and TARE (n= 7) Response rates was assessed on follow up imaging using mRECIST. Result(s): Tumor supply to caudate lobe HCC was from the right hepatic artery in 54.5% (n= 6), left hepatic artery 36.4% (n= 4) and left hepatic/right inferior phrenic arteries in 9.1 % (n= 1). Complete lesion response was achieved in 75% (n=9), one of which had liver transplant. Disease recurrence at 14 and 6 months follow up in 16.6%. One patient has no follow up. Conclusion(s): Trans arterial therapy of caudate lobe HCC is effective in treatment and down staging HCC. Careful angiographic evaluation of arterial is essential to improve outcomes.



Publication History

Article published online:
11 May 2021

© 2019. The Arab Journal of Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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