Department of Radiology, Queen Elizabeth Medical Centre, University Hospital Birmingham, Birmingham, UK.
Br J Radiol. 2010 Nov;83(995):e225-9. doi: 10.1259/bjr/42783229.
The use of pre-operative embolisation has been described for small neurofibromas, but not for giant lesions. Advances in embolisation techniques are extending the indications for this procedure, in particular to assist with operative intervention on a range of lesions. This case report describes a 45-year-old male with a giant neurofibroma who underwent embolisation to stabilise intratumoural haemorrhage and to assist with haemostasis during the subsequent surgical resection. Minimal transfusion was required and the patient has made a good recovery. This case demonstrates that pre-operative embolisation of these large and challenging lesions is technically feasible and appears to be beneficial in reducing perioperative blood loss and morbidity.
术前栓塞术已被用于小型神经纤维瘤，但不适用于巨大病变。栓塞技术的进步正在扩大该手术的适应证，特别是有助于对一系列病变进行手术干预。本病例报告描述了一名 45 岁男性患有巨大神经纤维瘤，接受栓塞术以稳定肿瘤内出血，并在随后的手术切除过程中协助止血。仅需要少量输血，患者恢复良好。本病例表明，对这些大型且具有挑战性的病变进行术前栓塞在技术上是可行的，并且似乎有助于减少围手术期失血和发病率。
