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      Superselective intra-arterial radiometabolic therapy with I-131 lipiodol in hepatocellular carcinoma.

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          Abstract

          Superselective transcatheter arterial radioembolization with radioiodinated lipiodol and gelatin sponges was evaluated in 11 patients with nodular hepatocellular carcinoma. Thirteen tumor nodules were treated using 3-5 ml of lipiodol labeled with 259 to 2220 MBq of I-131 followed by gelatin sponge with the following results: 1) there was elevated uptake in 12 tumor nodules with high tumor-to-background ratios: 2) there was excellent clinical tolerance to the treatment (stable cirrhosis in 5 patients and cirrhosis progression in 2 cases); 3) there was good disease control with size reduction in five tumor lesions (41%) and no increase in seven lesions (59%) followed for 2 years; 4) there was a 2-year survival rate of 70%; and 5) three deaths due to hepatic failure at 2, 3, and 20 months after therapy. Superselective arterial radioembolization with I-131 lipiodol is a useful palliative approach to inoperable hepatocarcinoma, providing long-term local control without severe complications in the progression of cirrhosis.

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          Author and article information

          Journal
          Clin Nucl Med
          Clinical nuclear medicine
          0363-9762
          0363-9762
          Mar 1996
          : 21
          : 3
          Affiliations
          [1 ] Department of Nuclear Medicine, Regina Elena, National Cancer Institute, Rome, Italy.
          Article
          8846568
          975b09bd-8286-4d46-b71b-806b752c878c
          History

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