During the past 54 months a total of 24 patients with secondary hepatic carcinoma have been treated by resection of hepatic metastasis and postoperation percutaneous intrahepatoportal chemotherapy(PHPC) under ultrasound guidance A followup from five months to four years shows that 21 patients have survivde for 5 to 48 months except 3 extremely advanced cases. The authors suggest that a combined therapeutic method for treating secondary hepatic carcinoma is more effective than either simple hepatectomy or chemotherapy.
During the past 42 months, a total of 53 patients with primary hepatic carcinoma (PHC) had been treated by fine needle percutanous ethanol intratumor infiltration (group P) and ethanol infiltration combined with intrahepatoportal chemotherapy around carcinoma, using adriamycin (group PA) or using adriamycin, carboplytin mitomycin and 5-Fu (group PC) for two courses. Result showed that 16cases were complete remission and 21 cases were part remission. The overall response rate was 69.8%, with a median survival duration of 10.1 months. After clinical contrast among three groups, the response rate in PA group exceeded P and PC group and adverse reactions was lower than PC group. The authors belive that this method might be a remedial measure for patients who are unsuitable for major surgery.