Abstract:
:To assess the efficacy of the zinostatin derivative, the anti-tumor agent, styrene-maleic acid neocarzinostatin, in treating multiple small liver cancers, 29 patients with multiple hepatocellular carcinoma of 3 cm or less in diameter were treated with intraarterial injections of this high molecular weight agent, mixed with Lipiodol. Computed tomography 3 months after the first therapy showed complete deposition of Lipiodol in the entire area of the original tumor in 8 patients (27.6%), 50%-99% deposition in 4 (13.8%), 10%-49% in 10 (34.5%), and less than 10% in 7 (24.1%). After repeated injections, Lipiodol deposition in the entire area of the original tumor was found in 11 patients (37.9%). The degree of Lipiodol deposition depended on the angiographic vascularity of the tumor and on the images of the computed tomogram during arterial portography. Although complete deposition of Lipiodol was found in all tumors in 10 (58.8%) of the 17 patients with well demarcated round hypervascularity, only 1 (8.3%) of 12 patients with ill demarcated tumors showed complete deposition of Lipiodol in the tumors. Taking into account that hypervascularity on angiograms was closely correlated with the degree of Lipiodol accumulation on computed tomograms taken later, it appears that well demarcated round-shaped liver cancer is the best candidate for styrene-maleic acid neocarzinostatin therapy.
journal_name
J Gastroenteroljournal_title
Journal of gastroenterologyauthors
Ikeda K,Saitoh S,Suzuki Y,Tsubota A,Koida I,Kobayashi M,Arase Y,Chayama K,Murashima N,Kumada Hdoi
10.1007/BF02934092subject
Has Abstractpub_date
1997-08-01 00:00:00pages
513-20issue
4eissn
0944-1174issn
1435-5922journal_volume
32pub_type
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journal_title:Journal of gastroenterology
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journal_title:Journal of gastroenterology
pub_type: 杂志文章
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journal_title:Journal of gastroenterology
pub_type: 杂志文章
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journal_title:Journal of gastroenterology
pub_type: 杂志文章
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journal_title:Journal of gastroenterology
pub_type: 杂志文章
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pub_type: 杂志文章
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doi:10.1007/s00535-019-01658-7
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journal_title:Journal of gastroenterology
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doi:10.1007/BF02934493
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pub_type: 杂志文章
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pub_type: 杂志文章,多中心研究
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journal_title:Journal of gastroenterology
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journal_title:Journal of gastroenterology
pub_type: 杂志文章,评审
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