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Transarterial Chemoembolization of Giant Liver Haemangioma: A Multi-center Study with 836 Cases

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Abstract

The purpose of the study is to evaluate the effectiveness and safety of transarterial chemoembolization (TACE) with pingyangmycin-lipiodol emulsion for the treatment of symptomatic giant hepatic haemangioma. Four hospitals (The Second Hospital of Shandong University, Qilu Hospital of Shandong University, Shandong Provincial Hospital and Jinan Municipal Hospital) participated in this study during 2002–2012. A total of 836 patients with symptomatic giant haemangioma were treated with pingyangmycin-lipiodol emulsion via selective TACE. The patients were followed-up for 12 months–10 years. The effectiveness of the treatment was evaluated by symptom assessments and upper abdominal magnetic resonance imaging or computed tomography. TACE was successfully performed for a total of 1120 lesions in 836 patients. Success rate of the procedure was 100 %. The mean diameter of the haemangiomas was significantly reduced after the interventional therapy (mean diameter 9.6 ± 0.8 vs. 3.6 ± 0.5 cm; P < 0.05). Symptom relief was achieved in all the patients during the follow-up period. No mortality was identified. TACE with pingyangmycin-lipiodol emulsion is a safe, feasible, and effective treatment for the giant symptomatic hepatic haemangioma.

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References

  1. Feldman, M. (1958). Hemangioma of the liver. American Journal of Clinical Pathology, 29, 160–162.

    Article  CAS  PubMed  Google Scholar 

  2. Gandolfi, L., Leo, P., Solmi, L., et al. (1991). Natural history of hepatic haemangiomas: Clinical and ultrasound study. Gut, 32, 677–680.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Adam, Y. G., Huvos, A. G., & Fortner, J. G. (1970). Giant hemangiomas of the liver. Annals of Surgery, 172, 239–245.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Yamamoto, T., Kawarada, Y., Yano, T., Noguchi, T., et al. (1991). Spontaneous rupture of hemangioma of the liver: Treatment with transcatheter hepatic arterial embolization. The American Journal of Gastroenterology, 86, 1645–1649.

    CAS  PubMed  Google Scholar 

  5. Takahashi, T., Katoh, H., Dohke, M., et al. (1997). A giant hepatic hemangioma with secondary portal hypertension: A case report of successful surgical treatment. Hepatogastroenterology, 44, 1212–1214.

    CAS  PubMed  Google Scholar 

  6. Clarke, D., Currie, E., Madhavan, K., et al. (2004). Hepatic resection for benign non-cystic liver lesions. HPB (Oxford), 6, 115–119.

    Article  CAS  Google Scholar 

  7. Charny, C. K., Jarnagin, W. R., Schwartz, L. H., et al. (2001). Management of 155 patients with benign liver tumors. British Journal of Surgery, 88(6), 808–813.

    Article  CAS  PubMed  Google Scholar 

  8. Tilborga, A., Nielsenb, K., Scheffera, H., et al. (2013). Bipolar radiofrequency ablation for symptomatic giant (>10 cm) hepatic cavernous haemangiomas: Initial clinical experience. Clinical Radiology, 68, e9–e14.

    Article  Google Scholar 

  9. Gaspar, L., Mascarenhas, F., da Costa, M. S., et al. (1993). Radiation therapy in the unresectable cavernous hemangioma of the liver. Radiotherapy and Oncology, 29(1), 45–50.

    Article  CAS  PubMed  Google Scholar 

  10. Althaus, S., Ashdown, B., Coldwell, D., et al. (1996). Transcatheter arterial embolization of two symptomatic giant cavernous hemangiomas of the liver. Cardiovascular and Interventional Radiology, 19, 364–367.

    Article  CAS  PubMed  Google Scholar 

  11. Giavroglou, C., Economou, H., & Ioannidis, I. (2003). Arterial embolization of giant hepatic hemangiomas. Cardiovascular and Interventional Radiology, 26, 92–96.

    Article  PubMed  Google Scholar 

  12. Bozkaya, H., Cinar, C., Besir, F. H., et al. (2014). Minimally invasive treatment of giant haemangiomas of the liver: Embolisation with bleomycin. Cardiovascular and Interventional Radiology, 37(1), 101–107.

  13. Therasse, P., Arbuck, S. G., Eisenhauer, E. A., et al. (2000). New guidelines to evaluate the response to treatment in solid tumors. Journal of the National Cancer Institute, 92(3), 205–216.

    Article  CAS  Google Scholar 

  14. Tait, N., Richardson, A. J., Muguti, G., et al. (1992). Hepatic cavernous haemangioma: A 10 year review. Australian and New Zealand Journal of Surgery, 62, 521–524.

    Article  CAS  PubMed  Google Scholar 

  15. Terkivatan, T., Vrijland, W. W., Den Hoed, P. T., et al. (2002). Size of lesion is not a criterion for resection during management of giant liver haemangioma. British Journal of Surgery, 89, 1240–1244.

    Article  CAS  PubMed  Google Scholar 

  16. Gupta, S., Agarwal, V., & Acharya, A. N. (2012). Spontaneous rupture of a giant hepatic hemangioma-report of a case. Indian Journal of Surgery, 74(5), 434–436.

    Article  PubMed  Google Scholar 

  17. Wang, Z., Yuan, Y., Zhuang, H., et al. (2012). Hepatic haemangiomas: Possible association with IL-17. Journal of Clinical Pathology, 65(2), 146–151.

    Article  CAS  PubMed  Google Scholar 

  18. Glinkova, V., Shevah, O., Boaz, M., et al. (2004). Hepatic haemangiomas: Possible association with female sex hormones. Gut, 53, 1352–1355.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Ouyang, Y., Wang, Y., Ouyang, X. H., et al. (2004). Controversy and discussion on blood supply and interventional therapy of cavernous of hemangioma of the liver. Chinese Journal of Radiology, 38(7), 746–750. (in Chinese).

    Google Scholar 

  20. Herman, P., Costa, M. L., Machado, M. A., et al. (2005). Management of hepatic hemangiomas: A 14-year experience. Journal of Gastrointestinal Surgery, 9(6), 853–859.

    Article  PubMed  Google Scholar 

  21. Charny, C. K., Jarnagin, W. R., Schwartz, L. H., et al. (2001). Management of 155 patients with benign liver tumours. British Journal of Surgery, 88, 808–813.

    Article  CAS  PubMed  Google Scholar 

  22. Singh, R. K., Kapoor, S., Sahni, P., et al. (2007). Giant haemangioma of the liver: Is enucleation better than resection? Annals of the Royal College of Surgeons of England, 89(5), 490–493.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Ho, H. Y., Wu, T. H., Yu, M. C., et al. (2012). Surgical management of giant hepatic hemangiomas: Complications and review of the literature. Chang Gung Medical Journal, 35(1), 70–78.

    PubMed  Google Scholar 

  24. Deutsch, G. S., Yeh, K. A., Bates, W. B, 3rd, et al. (2001). Embolization for management of hepatic hemangiomas. The American Surgeon, 67(2), 159–164.

    CAS  PubMed  Google Scholar 

  25. Jia, Y., Jia, J., & Zhao, Y. (2012). Pingyangmycin-regulated expressions of adhesion molecules in human venous malformation endothelial cells. Journal of Huazhong University of Science and Technology [Medical Sciences], 32(5), 760–766.

    Article  Google Scholar 

  26. Liu, X., Luo, X. P., Cao, W. T., et al. (2012). Effects of transcatheter arterial chemoembolization with pingyangmycin-lipiodol emulsion on VX2 liver tumors in rabbits. Zhonghua Gan Zang Bing Za zhi= Zhonghua Ganzangbing Zazhi= Chinese Journal of Hepatology, 20(8), 611–616. (in Chinese).

    CAS  PubMed  Google Scholar 

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Correspondence to Yuliang Li.

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Yuliang Li and Yunming Jia have contributed equally to this study.

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Li, Y., Jia, Y., Li, S. et al. Transarterial Chemoembolization of Giant Liver Haemangioma: A Multi-center Study with 836 Cases. Cell Biochem Biophys 73, 469–472 (2015). https://doi.org/10.1007/s12013-015-0680-y

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