Методика трансартериальной химиоэмболизации при первичных и метастатических опухолях печени

Автор: Попов М.В., Аронов М.С., Восканян С.Э., Карпова О.В.

Журнал: Саратовский научно-медицинский журнал @ssmj

Статья в выпуске: 4 т.12, 2016 года.

Бесплатный доступ

В обзоре литературы представлены данные о методике трансартериальной химиоэмболизации — широко используемом методе лечения первичных и вторичных опухолей печени. Показана роль химиоэмболизации как неоадъювантной терапии гепатоцеллюлярного рака (ГЦР), как методики лечения нерезектабельного ГЦР и как методики лечения метастатического поражения печени. Описана морфофункциональная основа методики, преимущества суперселективного интраартериального введения цитостатиков, особенно в сочетании с ишеми-ческим воздействием на опухоль. Затронута также тема выбора химиотерапевтического агента; рассмотрены современные насыщаемые цитостатиками микросферы, которые позволяют использовать большие дозы химиотерапевтического препарата без увеличения системного эффекта и увеличивают продолжительность его воздействия на опухоль. Отмечено отсутствие корреляции наличия и тяжести постэмболизационного синдрома с успешностью процедуры.

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Гепатоцеллюлярный рак, злокачественные опухоли печени, колоректальный рак, лекарственно-насыщаемые микросферы, трансартериальная химиоэмболизация

Короткий адрес: https://sciup.org/14918393

IDR: 14918393

Список литературы Методика трансартериальной химиоэмболизации при первичных и метастатических опухолях печени

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