Izaki K, Matsumoto S, Konishi J, Higashino T, Tsurusaki M, Fukuda T, Akasaka Y, Mori T, Sugimoto K, Fujii M, Sugimura K, Yoshikawa T, Hirota S, Hayashi Y
Dept. of Biomedical Informatics, Division of Radiology, Kobe University Graduate School of Medicine.
Gan To Kagaku Ryoho. 2001 Oct;28(11):1708-11.
A 66-year-old-man with a right huge hepatocellular carcinoma (HCC) extending into both the right portal vein and the right atrium underwent transcatheter arterial embolization (TAE) via the right hepatic artery. Prior to the TAE, a temporary inferior vena cava (IVC) filter was placed suprarenally for prevention of pulmonary tumor emboli. When we replaced the temporary IVC filter with a new one 7 days after the TAE, the filter which was pulled out of the IVC captured a fragment of the tumor thrombus. A histopathological specimen demonstrated only ghost cells. The patient has been followed at our outpatient clinic without any tumor thrombus or pulmonary infarction for 13 months after this procedure.
一名66岁男性,患有巨大的右肝细胞癌(HCC),肿瘤延伸至右门静脉和右心房,通过右肝动脉接受了经导管动脉栓塞术(TAE)。在TAE之前,于肾上方放置了一个临时下腔静脉(IVC)滤器,以预防肺肿瘤栓塞。TAE术后7天,当我们用一个新的IVC滤器替换临时滤器时,从IVC中取出的滤器捕获到了一块肿瘤血栓碎片。组织病理学标本仅显示为鬼影细胞。该患者在此手术后在我们的门诊随访了13个月,未出现任何肿瘤血栓或肺梗死。