1973
DOI: 10.2214/ajr.119.2.419
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Roentgenologic Demonstration of Spontaneous Reversal of Portal Blood Flow in Cirrhosis and Primary Carcinoma of the Liver

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Cited by 60 publications
(22 citation statements)
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“…The lung has been reported to be the most frequent hematogenous metastatic site for HCC [33]. Although the vascular invasion is associated with blood stream metastasis via the systemic and portal venous system [34], the reason why invasion to adjacent organs or tumor rupture tended to lead hematogenous metastasis was unclear. However, this finding suggested that antiangiogenic drugs as part of the adjuvant therapy might improve the prognosis of patients with S 2 /S 3 , who are considered to have a poor prognosis.…”
Section: Discussionmentioning
confidence: 99%
“…The lung has been reported to be the most frequent hematogenous metastatic site for HCC [33]. Although the vascular invasion is associated with blood stream metastasis via the systemic and portal venous system [34], the reason why invasion to adjacent organs or tumor rupture tended to lead hematogenous metastasis was unclear. However, this finding suggested that antiangiogenic drugs as part of the adjuvant therapy might improve the prognosis of patients with S 2 /S 3 , who are considered to have a poor prognosis.…”
Section: Discussionmentioning
confidence: 99%
“…Of the various characteristic, angiographic findings described, AV shunting seems to be one of the most pathognomonic, as it is seldom seen in other liver neoplasms (1,5,9). AV shunts have been described in regenerating liver (7), cirrhosis (14), and portacaval shunting (4); the courses of arteries and veins were normal throughout in these cases, in contrast to HCC, which almost always shows some irregularity of vessels due to either cancerous invasion or compression onto the vessels or tumor growth in the lumen of the portal branch. Thus AV shunts of other etiologies can be differentiated in a similar manner (10).…”
Section: Discussionmentioning
confidence: 99%
“…H EPATIC angiography by selective catheterization of the celiac or hepatic artery is a useful procedure in the diagnosis of liver carcinoma. A number of investigators have shown that one of the characteristic findings in hepatocellular carcinoma (HCC) is intrahepatic arteriovenous (AV) shunts, or more precisely arterio-portal communications as indicated chiefly by opacification of portal branches during or following the arterial phase (10, 11, 16) and less frequently by retrograde portal blood flow (3,14). We have recently described a striking feature peculiar to HCC which we call the "thread and streaks" sign, representing a tumor cast growing in a large branch of the portal vein (15).…”
Section: Methodsmentioning
confidence: 99%
“…This metastasis is presumed to be caused by tumor thrombi infiltrating via the portal system, at which point they are disseminated by hepatofugal portal blood flow to the gastrointestinal (GI) tract (2,3). We present here a rare case of premortem-diagnosed esophageal metastasis from HCC.…”
Section: Introductionmentioning
confidence: 99%