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局部晚期乳腺肿瘤大出血的动脉栓塞治疗

Arterial embolization for massive bleeding from a locally advanced breast tumor.

作者信息

Le Tat Thomas, Jost Raphaël, Kuoch Viseth, Carlier Robert-Yves, El Hajjam Mostafa, Zhou Jeffery

机构信息

Department of Interventional Radiology, Centre Hospitalier Sud Francilien, 40 Avenue Serge Dassault, Corbeil-Essonnes 91100, France.

Department of Radiology, Hôpital National d'Instruction des Armées Percy, 2 Rue Lieutenant Raoul Batany, Clamart 92140, France.

出版信息

Radiol Case Rep. 2024 Aug 13;19(11):4698-4701. doi: 10.1016/j.radcr.2024.07.050. eCollection 2024 Nov.

Abstract

Advances in breast cancer treatment have markedly reduced the incidence of massive bleeding, yet severe hemorrhage remains a critical issue in locally advanced or metastatic cases. Traditional management strategies often prove inadequate for significant bleeding, highlighting the need for alternative interventions. We detail the management of a 64-year-old patient with a neglected locally advanced breast tumor, leading to life-threatening hemorrhage. Conventional bleeding control measures failed, necessitating microsphere embolization. Effective hemostasis was achieved without adverse events or recurrence of bleeding, allowing for the initiation of chemotherapy. This case underscores the rarity yet potential severity of hemorrhage in breast cancer, challenging conventional management. Embolization, typically reserved for other hemorrhagic conditions, is appearing as a viable alternative for breast cancer-related hemorrhage, particularly in large tumors where surgery is impractical. Further research is necessary to establish its role in managing minor bleeding.

摘要

乳腺癌治疗的进展显著降低了大出血的发生率,但严重出血在局部晚期或转移性病例中仍然是一个关键问题。传统的管理策略往往被证明对严重出血是不够的,这凸显了替代干预措施的必要性。我们详细介绍了一名64岁患有被忽视的局部晚期乳腺肿瘤并导致危及生命出血的患者的治疗情况。传统的出血控制措施失败了,因此需要进行微球栓塞。实现了有效的止血,没有出现不良事件或出血复发,从而可以开始化疗。该病例强调了乳腺癌出血虽罕见但潜在的严重性,对传统管理提出了挑战。栓塞通常用于其他出血性疾病,正成为乳腺癌相关出血的一种可行替代方法,特别是在手术不可行的大肿瘤中。有必要进行进一步研究以确定其在处理轻微出血中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c0a/11372593/e2a4cc7bcba1/gr1.jpg

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