Hepatocellular carcinomas supplied by inferior phrenic arteries

N. Tanabe, T. Iwasaki, N. Chida, S. Suzuki, T. Akahane, N. Kobayashi, Motoyasu Ishii, T. Toyota

    Research output: Contribution to journalArticle

    29 Citations (Scopus)

    Abstract

    Purpose: To assess the arterial supply to hepatocellular carcinomas (HCCs) by inferior phrenic arteries (IPA). Material and Methods: A total of 126 consecutive cases of HCC were studied by contrast-enhanced CT and conventional arteriography. Blood supply from an IPA was suspected when the size of the HCC mass as seen on contrast-enhanced CT did not match the size of the tumor mass as seen on hepatic arteriography. Inferior phrenic arteriography was employed to confirm these findings. HCCs fed by the IPA were analyzed in terms of size, location, and history of prior treatment. Results: In 14 (11%) of the 126 cases, the tumor was found to have a blood supply from an IPA. Eleven of these tumors were located in segments 2 and 7. Three tumors, which had not been treated previously, had a blood supply from an IPA. Six tumors were almost exclusively fed by an IPA and were located in segments 7, 1, and 4. Conclusion: HCCs located in segments which form the bare area of the liver (S1, S2, S7) can be supplied by an IPA. This should be suspected when a lesion or part of a lesion is identified on contrast-enhanced CT but not on hepatic arteriography.

    Original languageEnglish
    Pages (from-to)443-446
    Number of pages4
    JournalActa Radiologica
    Volume39
    Issue number4
    DOIs
    Publication statusPublished - 1998 Jul

    Keywords

    • Angiography
    • CT
    • Liver neoplasms, blood supply

    ASJC Scopus subject areas

    • Radiological and Ultrasound Technology
    • Radiology Nuclear Medicine and imaging

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  • Cite this

    Tanabe, N., Iwasaki, T., Chida, N., Suzuki, S., Akahane, T., Kobayashi, N., Ishii, M., & Toyota, T. (1998). Hepatocellular carcinomas supplied by inferior phrenic arteries. Acta Radiologica, 39(4), 443-446. https://doi.org/10.3109/02841859809172461