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肝细胞癌患者经动脉化疗栓塞术后发生化脓性脑脓肿的罕见病例:病例报告及文献综述

Rare Case of Pyogenic Brain Abscess after Transarterial Chemoembolization in a Patient with Hepatocellular Carcinoma: Case Report and Literature Review.

作者信息

Myeong Jun-Ho, Yoo Jeong-Ju, Kim Sang Gyune, Kim Young Seok

机构信息

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.

出版信息

J Liver Cancer. 2021 Mar;21(1):81-86. doi: 10.17998/jlc.21.1.81. Epub 2021 Mar 31.

Abstract

Transarterial chemoembolization (TACE) is a useful treatment option for hepatocellular carcinoma (HCC). TACE can particularly be used as a treatment for localized HCC, where surgical resection is impossible due to decreased liver function. However, TACE is associated with several complications, including vascular complications, liver failure, non-target embolization, infection, and death. The main risk factor for complications after TACE is decreased liver function. There have been only few reports of brain abscesses after TACE that are difficult to be distinguished from hepatic encephalopathy. Here, we report a rare case of brain abscess caused by that occurred after TACE.

摘要

经动脉化疗栓塞术(TACE)是肝细胞癌(HCC)的一种有效治疗选择。TACE尤其可用于治疗局限性HCC,这类患者由于肝功能下降而无法进行手术切除。然而,TACE会引发多种并发症,包括血管并发症、肝衰竭、非靶栓塞、感染和死亡。TACE术后并发症的主要危险因素是肝功能下降。关于TACE术后脑脓肿的报道很少,且难以与肝性脑病区分开来。在此,我们报告一例TACE术后发生的罕见脑脓肿病例。

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