Kitayama Kishu, Ozaki Masanori, Ninoi Teruhisa, Araki Mariko, Matsumoto Teppei, Yoshida Hideki, Nakazawa Kazunori, Sunami Takeshi, Tsukamoto Yoshitaka, Nakao Terutoshi
Dept. of Surgery, PL Hospital.
Gan To Kagaku Ryoho. 2020 Dec;47(13):2394-2396.
A-58-year-old woman was diagnosed with breast cancer 8 years ago at another hospital, but refused surgical treatment. From 2 years ago, her skin invasion of cancer lesions began bleeding. The patient required frequent blood transfusions due to anemia associated with repeated bleeding. She was referred to our department for local treatment and palliative care. Diagnostic imaging revealed multiple lung, bone and liver metastasis. The patient refused to receive systemic chemotherapy, and she was recommended radiation therapy for repeated massive bleeding, but her consent was not obtained. She agreed to receive arterial embolization from the tumor-bearing vessels plus intravenous anti-cancer drug therapy. The hemostatic effect was observed for 4 to 5 weeks per treatment, and tumor reduction was also observed. She received a total of 6 treatments during 8 months until her death. These treatments were effective in maintaining quality of life at the end of life.
一名58岁女性8年前在另一家医院被诊断为乳腺癌，但拒绝接受手术治疗。从2年前开始，她的癌灶皮肤侵犯部位开始出血。由于反复出血导致贫血，患者需要频繁输血。她被转诊至我科接受局部治疗和姑息治疗。诊断性影像学检查显示有多处肺、骨和肝转移。患者拒绝接受全身化疗，因反复大量出血被建议接受放射治疗，但未获得她的同意。她同意接受来自肿瘤供血血管的动脉栓塞术加静脉抗癌药物治疗。每次治疗的止血效果可观察到4至5周，同时也观察到肿瘤缩小。在8个月内直至死亡，她共接受了6次治疗。这些治疗有效地维持了生命末期的生活质量。
