经导管动脉栓塞术治疗肝细胞癌胸壁转移
Transcatheter arterial embolization for chest wall metastasis of hepatocellular carcinoma.
作者信息
Nagao Eiki, Hirakawa Masakazu, Soeda Hiroyasu, Tsuruta Satoru, Sakai Hironori, Honda Hiroshi
机构信息
Eiki Nagao, Departments of Clinical Radiology, Fukuoka city Hospital, Yoshizukahonmachi, Fukuoka 812-0046, Japan.
出版信息
World J Radiol. 2013 Feb 28;5(2):45-8. doi: 10.4329/wjr.v5.i2.45.
Abstract
Hemothorax due to rupture of metastatic hepatocellular carcinoma (HCC) is a very rare complication with high mortality because of uncontrollable hemorrhage. A 71-year-old man treated by transcatheter arterial embolization for HCC with massive bleeding from chest wall metastasis is reported. Enhanced computed tomography and selective intercostal angiogram showed a hypervascular mass in the right chest wall and extravasation of contrast agent. After successful transcatheter arterial embolization with gelatin sponge particles and metallic coils, the patient recovered from shock without major complication. To our knowledge, a successfully treated case of hemothorax due to rupture of metastatic HCC has not previously been described.
摘要
转移性肝细胞癌（HCC）破裂导致血胸是一种非常罕见的并发症，由于出血难以控制，死亡率很高。本文报道了一名71岁男性患者，因HCC接受经导管动脉栓塞治疗，出现胸壁转移大量出血。增强计算机断层扫描和选择性肋间血管造影显示右胸壁有一个高血运肿块及造影剂外渗。在用明胶海绵颗粒和金属线圈成功进行经导管动脉栓塞后，患者从休克中恢复，未出现重大并发症。据我们所知，此前尚未有转移性HCC破裂导致血胸并成功治疗的病例报道。
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