Splenoportographic Findings of Hepatocellular Carcinoma
Splenoportography was carried out in 121 patients in the past decade in our department and affiliated hospitals. Portograms of 13 subjects that were confirmed to have the primary hepatocellular carcinoma were retrospectively studied for the changes of portal veins. Portograms of 13 cases with hepato...
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| Published in | Kanzo Vol. 19; no. 10; pp. 983 - 989 |
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| Main Authors | , , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
The Japan Society of Hepatology
1978
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| Online Access | Get full text |
| ISSN | 0451-4203 1881-3593 1881-3593 |
| DOI | 10.2957/kanzo.19.983 |
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| Abstract | Splenoportography was carried out in 121 patients in the past decade in our department and affiliated hospitals. Portograms of 13 subjects that were confirmed to have the primary hepatocellular carcinoma were retrospectively studied for the changes of portal veins. Portograms of 13 cases with hepatoma were able to be divided into four types, (1) Thrombus formation, (2) Displacement, (3) Mixture of (1) and (2), and (4) No changes. Of 13 cases, portal vein thrombi were demonstrated in 6 cases (46 per cent), and a lot of informations about the obliterative extent and status of collaterals caused by these thrombi were obtained. There were 4 cases which showed no changes (31 per cent). A diagnosis of hepatoma could not be made by means of splenoportography. In portograms, no portal branches in the space occupying lesions were demonstrated, and there was no changes in the portal vein shape which could suggest the infiltrative invasion of carcinoma. |
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| AbstractList | Splenoportography was carried out in 121 patients in the past decade in our department and affiliated hospitals. Portograms of 13 subjects that were confirmed to have the primary hepatocellular carcinoma were retrospectively studied for the changes of portal veins. Portograms of 13 cases with hepatoma were able to be divided into four types, (1) Thrombus formation, (2) Displacement, (3) Mixture of (1) and (2), and (4) No changes. Of 13 cases, portal vein thrombi were demonstrated in 6 cases (46 per cent), and a lot of informations about the obliterative extent and status of collaterals caused by these thrombi were obtained. There were 4 cases which showed no changes (31 per cent). A diagnosis of hepatoma could not be made by means of splenoportography. In portograms, no portal branches in the space occupying lesions were demonstrated, and there was no changes in the portal vein shape which could suggest the infiltrative invasion of carcinoma. |
| Author | TOYONAGA, Atsushi NAGASAKI, Yoshikazu FUJIMI, Tadashi KAJI, Hisaaki TANIKAWA, Kyuichi SAKAMOTO, Kazuyoshi SATOMI, Takahiko SASAKI, Ei YASUMOTO, Masatake FUKUDA, Kazuo KURATOMI, Shintaro |
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| References | 14) 陣内重信:原発性肝細胞癌の血管造影像.中島・奥田の肉眼分類法との対比.久留米医会誌,8: 541, 1975. 9) Boijsen, E. & Abrams, H.L.: Roentgenologic diagnosis of primary carcinoma of the liver. Acta radiol. (diag), 3: 257, 1965. 10) Yu, C.: Primary carcinoma of the liver (Hepatoma). Am. J. Roentgenol., 99: 142, 1967. 2) EdmondSon, H.A., Steiner, P.E.: Primary carcinoma of the liver. A study of 100 cases among 48,900 necropsies. Cancer, 7: 462, 1954. 6) Okuda, K.: Space occupying lesions of the liver, Okuda, K. and Iio, M.: Radiological aspects of the liver and biliary tract, Igaku shoin, Tokyo, 1976. 1) Wilbur, D.L.,: Primary carcinoma of the liver. Ann. Intern. Med., 20: 462, 1954. 7) Nakashima, T.: Vascular changes in hepatocellular carcinoma, Okuda, K. and Peters, R.L.: Liver cell carcinoma, John Wiley, New York, 1975. 3) Rene, A.A.,: Portal vein thrombosis in malignant hepatoma. Ann. Inter. Med., 67: 337, 1967. 8) 倉富晋太郎:肝細胞癌の病理形態学的研究,血管構築よりみた進行性肝癌並びに血管内腫瘍塞栓の病理.肝臓,17: 517, 1976. 12) 本庄一夫:選択的腹腔動脈撮影.臨床外科,24:317, 1969. 11) 長谷川康幸:上腹部臓器における選択的腹腔動脈に関する研究.第II報.臨床放射線,14:787, 1969. 13) 木戸長一郎,金子昌生:原発性肝癌について.最新医学,28: 1922, 1973. 5) Okuda, K.,: Demonstration of growing vein by celiac angiography. The thread and streak sign. Radiology, 117: 303, 1975. 4) Rossi, P. & Gould, H.R.: Angiography and scanning in liver disease. Radiology, 96: 553, 1970. |
| References_xml | – reference: 9) Boijsen, E. & Abrams, H.L.: Roentgenologic diagnosis of primary carcinoma of the liver. Acta radiol. (diag), 3: 257, 1965. – reference: 11) 長谷川康幸:上腹部臓器における選択的腹腔動脈に関する研究.第II報.臨床放射線,14:787, 1969. – reference: 4) Rossi, P. & Gould, H.R.: Angiography and scanning in liver disease. Radiology, 96: 553, 1970. – reference: 8) 倉富晋太郎:肝細胞癌の病理形態学的研究,血管構築よりみた進行性肝癌並びに血管内腫瘍塞栓の病理.肝臓,17: 517, 1976. – reference: 12) 本庄一夫:選択的腹腔動脈撮影.臨床外科,24:317, 1969. – reference: 14) 陣内重信:原発性肝細胞癌の血管造影像.中島・奥田の肉眼分類法との対比.久留米医会誌,8: 541, 1975. – reference: 3) Rene, A.A.,: Portal vein thrombosis in malignant hepatoma. Ann. Inter. Med., 67: 337, 1967. – reference: 7) Nakashima, T.: Vascular changes in hepatocellular carcinoma, Okuda, K. and Peters, R.L.: Liver cell carcinoma, John Wiley, New York, 1975. – reference: 5) Okuda, K.,: Demonstration of growing vein by celiac angiography. The thread and streak sign. Radiology, 117: 303, 1975. – reference: 2) EdmondSon, H.A., Steiner, P.E.: Primary carcinoma of the liver. A study of 100 cases among 48,900 necropsies. Cancer, 7: 462, 1954. – reference: 13) 木戸長一郎,金子昌生:原発性肝癌について.最新医学,28: 1922, 1973. – reference: 10) Yu, C.: Primary carcinoma of the liver (Hepatoma). Am. J. Roentgenol., 99: 142, 1967. – reference: 6) Okuda, K.: Space occupying lesions of the liver, Okuda, K. and Iio, M.: Radiological aspects of the liver and biliary tract, Igaku shoin, Tokyo, 1976. – reference: 1) Wilbur, D.L.,: Primary carcinoma of the liver. Ann. Intern. Med., 20: 462, 1954. |
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| Title | Splenoportographic Findings of Hepatocellular Carcinoma |
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