Combined hepatocarcinoma-cholangiocarcinoma in patients treated as hepatocarcinoma

Abstract

right, left and both lobes in 26, 3, 14 cases respectively. Tumor size was >5 cm in 24 (55.8%) cases and < 5 cm in 19 cases (44.2%). Treatment was done by DC BeadÔ 100-300mm or HepasphereÔ 150-200mm. Five patients (11.6%) received 1 TACE procedure, 11 patients (25.6%) received 2, 9 patients (20.9%) received 3, 8 patients (18.6%) received 4 and 10 patients (23.3%) received >4 TACE procedures respectively. For treatment result evaluation we used modified RECIST-relation between necrotic and still vascularized lesions. Conclusion: Chemoembolization with or without doxorubicin microspheres is a safe and effective procedure for advanced inoperable HCC. A single center experience showed that studies and routine protocol are required for analyzing the outcomes and efficacy of TACE.