Hughes Peter, Healy Nuala A, Grant Cliona, Ryan J Mark
1Department of Radiology, St. James's Hospital, Dublin, Ireland.
2Department of Oncology, St. James Hospital, Dublin, Ireland.
Eur Radiol Exp. 2017;1(1):9. doi: 10.1186/s41747-017-0013-6. Epub 2017 Jun 29.
Transarterial chemoembolisation (TACE) is well established in the treatment of primary hepatocellular carcinoma and of metastatic disease from colorectal and neuroendocrine tumours. There are few published studies on the effectiveness of treating hepatic metastases from medullary thyroid carcinoma with chemoembolisation and none to our knowledge utilising bland particle transarterial embolisation (TAE). Here we describe the management of multifocal hepatic metastases from medullary thyroid cancer in a 39-year-old woman who underwent bland particle TAE with a biochemical and radiological response and discuss the potential for a wider scope of clinical application for bland TAE in hepatic metastases.
经动脉化疗栓塞术(TACE)在原发性肝细胞癌以及结直肠癌和神经内分泌肿瘤的转移性疾病治疗中已得到广泛应用。关于化疗栓塞术治疗甲状腺髓样癌肝转移有效性的已发表研究较少,据我们所知,尚无使用单纯颗粒经动脉栓塞术(TAE)的相关研究。在此,我们描述了一名39岁女性甲状腺髓样癌多灶性肝转移患者接受单纯颗粒TAE治疗后的生化和影像学反应,并讨论了单纯TAE在肝转移中更广泛临床应用的潜力。