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Therapeutic ethanol injection of hepatocellular carcinomas undetectable by angiography and lipiodol computed tomography

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Abstract

Seven smaller than 2 cm in diameter hepatocellular carcinomas (HCC) undetectable by hepatic arteriography and computed tomography (CT) after intraarterial injection of iodized oil (Lipiodol CT) were diagnosed by ultrasonography-guided fine-needle biopsy in 6 patients. All lesions were treated by percutaneous ethanol injection (PEI) in 1–3 weekly intervals. No recurrences have been demonstrated after 7–15 months. The treatment of HCCs undetectable by angiography and Lipiodol CT presents a problem as transcatheter arterial embolization is considered ineffective due to, poor vascularity. PEI appears to be an excellent treatment for these small HCCs.

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Matsuoka, Y., Morikawa, M., Amamoto, Y. et al. Therapeutic ethanol injection of hepatocellular carcinomas undetectable by angiography and lipiodol computed tomography. Cardiovasc Intervent Radiol 15, 221–223 (1992). https://doi.org/10.1007/BF02733926

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