Harrington D P, Barth K H, Baker R R, Truax B T, Abeloff M D, White R I
Radiology. 1978 Nov;129(2):307-10. doi: 10.1148/129.2.307.
Embolization therapy is reported in three patients bleeding from metastatic carcinoma of the breast. Two had life threatening hemorrhage from sternal erosion; internal mammary arteriography indicated encasement, false aneurysm formation or tumor blush. The third patient had intermittent bleeding of extensive fungating axillary and anterior chest wall metastases. Autologous clot alone was used in the first case with immediate cessation of bleeding and transient neurological symptoms secondary to back flow of thrombus into the vertebral artery were noted. The second and third patients received Oxycel-Ivalon and Gel-foam respectively; bleeding ceased and no complications were noted.
有三名乳腺癌转移癌出血患者接受了栓塞治疗。两名患者因胸骨侵蚀出现危及生命的出血；乳房内动脉造影显示血管受压、假性动脉瘤形成或肿瘤染色。第三名患者广泛的腋窝和前胸壁转移瘤呈蕈状，有间歇性出血。第一例仅使用自体血凝块，出血立即停止，且注意到因血栓逆流至椎动脉继发短暂性神经症状。第二例和第三例患者分别接受了氧化纤维素-伊瓦龙和明胶海绵治疗；出血停止，未观察到并发症。
