Figure - PMC

Skip to main content

An official website of the United States government

Here's how you know

Here's how you know

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

View full-text article in PMC

. 2021 Aug 14;8:937–949. doi: 10.2147/JHC.S319920

Search in PMC
Search in PubMed
View in NLM Catalog
Add to search

© 2021 Chang et al.

This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).

PMC Copyright notice

A 60-year-old HBV carrier had HCC in the left lobe which was treated with extended left lobectomy. He has poor liver function (Child-Pugh score 8–9) and HCC with relatively small or low vascularity. (A) CT image in arterial-phase shows two recurrent HCCs (tumor 1 and 2). The tumor 1 featured early arterial enhancement, and tumor 2 was not hypervascular suggestive of a HCC with relatively small or low vascularity. (B) An angiogram during the 1st TACE reveals a hypervascular tumor (tumor 1) which is supplied by the right colic artery (black arrow, a branch of superior mesenteric artery). TACE with small-caliber DEBs of right colic artery was performed. (C) Three months after the 1st TACE, follow-up CT shows no evidence of residual enhancement of the tumor 1 lesion. However, the tumor 2 lesion features progression of tumor size with mild increase of the tumor vascularity (dotted circle). (D) An angiogram during the 2nd TACE shows that the tumor 2 is supplied by right inferior phrenic artery (white arrow) with low vascularity. TACE of right inferior phrenic artery was performed with small-caliber DEBs. (E) Three months after the 2nd TACE, CT image shows marked cystic change of the tumor 2 with residual band-like enhancement (white arrowhead) suggesting partial response. The tumors were downgraded and the patient subsequently received liver transplantation.