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2. Yip WM, et al. Hong Kong Med J 2009;15:339-45;
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TACE的评估和随访
HCC 残余/复发类型 Patterns of residual/recurrent HCC
HCC残余/复发的发现Findings of residual/recurrent HCC 那个和什么时候 Which and when ?
如何评价 How to evaluate ?
HCC 残余/复发类型 Patterns of residual/recurrent HCC类型I: 肿瘤内复发 Intra-tumoral reccurence    DEB栓塞术后1个月复查，肿瘤内复发，周边型，侧支循环供血导致栓塞不全  类型II：肿瘤周边复发
肝癌栓塞后，肿瘤周边复发
 肿瘤外复发 Extra-tumoral recurrence   肝外复发Extra-hepatic reccurence
总结：TACE术后肝癌复发/残余的类型
(limited effect of TACE/technical failure)
(daughter nodule/extra-capsular invasion)
(intra/extra-hepatic spread)
Findings of residual/recurrent HCCBasic findings of residual/recurrent HCC
Basic findings：
Early enhancement and wash-out
 “Early enhancement and wash-out” is not always seen. 不典型改变类型 Atypical recurrent pattern：栓塞后，栓塞碘油周边复发，但没有造影剂增强 
Local recurrence after cTACE
 TACE术后碘油wash out 是局部肿瘤复发的重要发现 |