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All Journal Jurnal Kedokteran Syiah Kuala Indonesian Journal of Urology Bioscientia Medicina : Journal of Biomedicine and Translational Research Biomolecular and Health Science Journal Indian Journal of Forensic Medicine & Toxicology Narra J Bioscientia Medicina : Journal of Biomedicine and Translational Research
Bambang Soeprijanto
Department Of Radiology, Faculty Of Medicine Universitas Airlangga, Surabaya, Indonesia - Dr. Soetomo General Hospital Surabaya
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Feeding artery characteristics and enhancement patterns of hepatoblastoma patients treated with transarterial chemoembolization (TACE): Digital subtraction angiography evaluation Yus, Teuku M.; Sarastika, Hartono Y.; Soeprijanto, Bambang
Narra J Vol. 3 No. 3 (2023): December 2023
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v3i3.209

Abstract

Hepatoblastoma is one of the most common primary malignant liver tumors in children. The incidence of hepatoblastoma has been increasing, reaching 1.2 per million children now. The transarterial chemoembolization (TACE) procedure is one of the most practical and effective treatment options besides surgery. Digital subtraction angiography (DSA) is performed as the first step of the TACE procedure. The aim of this study was to provide information about the feeding arteries and enhancement pattern of the hepatoblastoma that was assessed by DSA before the TACE procedure. A retrospective study was conducted among hepatoblastoma cases that had undergone DSA on the TACE procedure to obtain information on the vascularity of the tumor. A total of 26 hepatoblastoma cases who had DSA examination as a part of their first TACE procedure were included, consisting of 15 boys and 11 girls, aged between 1–15 years. All cases were stage III and IV according to the Pre-Treatment Extent of Tumor (PRETEXT) staging classification. All hepatoblastoma cases had multiple feeding arteries, most of which were branches of the right hepatic artery. The largest diameter of the feeding artery was 1.82 mm, and the smallest was 0.63 mm. Most cases (84.62%) had strong contrast absorption, and spread evenly, either at the edges or in the center of the tumor. DSA is believed to be an accurate procedure to provide a detailed description of the feeding artery; enhancement patterns of hepatoblastoma were influenced by an adequate TACE.
Co-Authors Bakhtiar, Arief Doddy M Soebadi Doddy M. Soebadi Erwin A Triyono Faradilla litiloly1, Hartono Yudi Sarastika1 Fardana, Nur Ainy Ferriastuti, Widiana Hariyoto, Bangun Oktavian I Dewa Gede Reza Sanjaya J. Moekono Juliati Hood Assegaf Laila Amalia Leon Agung Manurung Muhammad Hidayat Surya Atmaja Ria Wibawani Sarastika, Hartono Y. Soetojo Soetojo Tarmono Djojodimedjo Wahyudi Ifani Wyka Faulani Hafizah Nur Yus, Teuku M.