迟下要做肝动脉化疗栓塞 本人在美国!给自己加油!化疗栓塞术化疗栓塞术又称为肝动脉化疗栓塞 (TACE)、或门动脉结扎化疗栓塞 (HACE)术。
是利用肿瘤的血液必须经过门动脉（HA）来供应因而使用导管的方式输送化疗的药物。肝动脉栓塞化疗/ HACE 之目标是供应肿瘤血液的肝动脉。肝脏通过荧光 X 线透视在屏幕上可见的指引下、介入放射科医生将导管插入肝动脉。再经由肝动脉的支管注射显影剂、使供应肿瘤的血管很容易被看到。然后可以下列方法之一来治疗肿瘤：• 布兰德栓塞 — 使用小栓塞珠来阻挡肝动脉的分支血管、以切断肿瘤的血液供应。• 化疗栓塞 — 此化疗是将药物及栓塞珠注入肝脏内的支血管。使化疗药物陷入肿瘤、且封塞血液对肿瘤的供应。这两个医疗程序如需要可以重复再做。 作者: HBVcheck 时间: 2016-12-10 16:35
能告诉大家具体病情吗？作者: redlion 时间: 2016-12-11 01:21
TECHNIQUE: Multiplanar, multisequence MR evaluation was performed of
the abdomen. Axial VIBE preceding and following gadolinium contrast,
coronal VIBE.
Contrast: 6.5 mm Gadavist.
COMPARISONS: Ultrasound dated 10/19/2016.
DATE: 11/16/2016 12:59 PM
FINDINGS:
Lung Bases: Lung bases are clear. Inferior heart is normal. No
pleural effusion,
Abdomen:
Liver: Heterogeneous signal intensity with a nodular contour.
Liver observation 1: T2 hypointense ovoid lesion (10:18) which shows
T1 hyperintensity on noncontrast phase (1400:66), shows mild
homogeneous arterial enhancement (1401:64) with washout on the
delayed phase (1404:69), and measures 2.6 x 2.4 cm. Associated
pseudocapsule. (LI-RADS 5)
Liver observation 2: There is a T1 hyperintense lesion within segment
II measuring 1 cm (1400:22) which shows no postcontrast enhancement
and is T2 isointense. (LI-RADS 2)
Liver observation 3: There is nodular subtle postcontrast enhancement
along the periphery of segment VI only seen on the portal venous
phase which is isodense on the other phases. Finding is isointense on
T2.(LI-RADS 3)
No additional enhancing lesions are identified throughout the liver.
No additional areas of washout.
Hepatic vasculature: Conventional celiac anatomy. Dilated portal
veins are widely patent. Dilated splenic artery and vein. Multiple
perisplenic, perigastric, and periesophageal varices along with
recanalization of the umbilical vein.
Gallbladder: No gallstones, wall thickening, or pericholecystic fluid.
Bile ducts: Normal. No intra or extra hepatic bile duct dilation.
Pancreas: No focal lesions, ductal dilation, or distal atrophy.
Spleen: Enlarged measuring 20 cm craniocaudally.
Adrenal Glands: No adrenal nodules.
Kidneys: Normal. No pelvocaliectasis or solid masses.
Stomach and small bowel: Incompletely distended grossly normal
stomach. Visualized small bowel is normal in caliber.
Colon: No masses or segmental wall thickening throughout the
visualized colon.
Mesentery: Normal.
Lymph nodes: None enlarged.
Vascular structures: The aorta and IVC show normal flow voids and
postcontrast filling.
Free fluid: Tiny volume in the bilateral subphrenic spaces.
Abdominal wall: No hernias.
Bones: Normal marrow signal intensity.
IMPRESSION:
Hepatic steatosis and portal hypertension with the previously seen
segment VI lesion consistent with HCC (LR5).
Communication:
**CRITICAL TEST** ERIK NESS was notified by TRACY J ROBINSON of the
above findings at 1418 hrs. on 11/16/2016 and has accepted
responsibility for followup.作者: redlion 时间: 2016-12-11 01:23