Innovations in Abdominal Ultrasound pp 79-80 | Cite as
Tumor Therapy by Ethanol Injection: Results and Indications
Abstract
Percutaneous ethanol injection (PEI) is an inexpensive and easy therapeutic technique performed under ultrasound guidance. Ultrasound real-time control permits recognition of the target, correct centering of the fine needle in the preselected area, and evaluation of the appropriate quantity of ethanol to inject. The toxic effects of ethanol injected into neoplastic lesions have been assessed in animals and on operative specimens from humans. Alcohol enters the cells by diffusion and produces immediate coagulation necrosis followed by the formation of granulation tissue and fibrosis and by partial or complete thrombosis of small vessels. The phenomena are the outcome of cellular dehydration and protein denaturation. Primary and metastatic neoplasms of the liver are the pathologies treated by PEI.