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Fig. 3. A 70-year-old female after spinal fusion surgery. Her liver function was Child-Pugh A(5), and she had difficulty in staying still on the bed. Dynamic enhanced computed tomography (CT) showed a well-defined hypervascular tumor (arrow) (A) at segment 3 in arterial phase which was diagnosed as hepatocellular carcinoma (HCC). (B) Superselective angiography from A3 showed tumor staining and two feeding arteries (white arrow and white arrowhead). (C) After conventional transarterial chemoembolization (TACE), accumulation of ethiodized oil in the tumor, surrounding embolized liver parenchyma and portal vein branche were markedly opacified (arrows). (D) Unenhanced CT scan performed 1 week after conventional TACE showed dense ethiodized oil accumulation in a limited liver parenchyma in segment 3 including HCC (arrow). (E) Ethiodized oil was retained in HCC and shrinkage of the surrounding liver parenchyma on CT scan at 1 year after TACE. This CT image meant hepatic necrosis around the tumor without recurrence (arrow).
Int J Gastrointest Interv 2021;10:152~160 https://doi.org/10.18528/ijgii210042
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