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经动脉化疗栓塞治疗转移性恶性黑色素瘤后出现的罕见严重并发症:巨大肝内囊肿和致命性肝衰竭。

Unusual severe complication following transarterial chemoembolization for metastatic malignant melanoma: giant intrahepatic cyst and fatal hepatic failure.

作者信息

Ataergin Selmin, Tasar Mustafa, Solchaga Luis, Ozet Ahmet, Arpaci Fikret

机构信息

Department of Medical Oncology and Bone Marrow Transplantation Unit, GATA Gulhane Faculty of Medicine, Etlik, Ankara, Turkey.

出版信息

Cardiovasc Intervent Radiol. 2009 Mar;32(2):361-4. doi: 10.1007/s00270-008-9451-0. Epub 2008 Oct 4.

DOI:10.1007/s00270-008-9451-0
PMID:18836766
Abstract

We describe a 45-year-old male patient with malignant melanoma who underwent hepatic arterial chemoembolization due to liver metastases. Four months after the procedure, the patient developed a giant cystic cavity in the liver. Cytologic examination of the cystic fluid retention revealed necrotic tumor material. The fluid was drained by percutaneous catheter, but the patient developed hepatic failure. This case represents another rare complication of transarterial chemoembolization and shows that transarterial chemoembolization may have rare fatal complications.

摘要

我们描述了一名45岁的恶性黑色素瘤男性患者,其因肝转移接受了肝动脉化疗栓塞术。术后四个月,患者肝脏出现一个巨大的囊腔。对潴留囊液进行的细胞学检查发现了坏死的肿瘤物质。通过经皮导管引流了囊液,但患者出现了肝衰竭。该病例代表了经动脉化疗栓塞术的另一种罕见并发症,并表明经动脉化疗栓塞术可能会有罕见的致命并发症。

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