Figure 6.

MRI and dynamic CT (A, before treatment; B, after treatment) scans showing the response to the treatment protocol in patient 3. A massive HCC in the right hepatic lobe with right portal vein invasion and multiple lung metastases were noted, but initial MRI revealed no lesions in the adrenal gland. After the treatment protocol the intrahepatic tumor lesions were markedly improved (white arrow), but the left adrenal metastasis (dotted arrow) and pulmonary metastatic nodules (black arrow) were aggravated. Hepatic arteriography (C, before treatment; D, after treatment) showed a huge hypervascular HCC in the right hepatic lobe and a large AVS (white arrow). Both the HCC lesion and AVS shunt had disappeared after the treatment protocol.