为 hepatocellular 癌的胸墙转移的 Transcatheter 动脉的 embolization

• 作者: Eiki Nagao Hironori Sakai Hiroshi Honda Hiroyasu Soeda Masakazu Hirakawa Satoru Tsuruta
• 来源期刊: 世界放射学杂志：英文版（电子版）
• 学科: 医学
• 关键词: HEPATOCELLULAR carcinoma CHEST wall metastasis Rupture TRANSCATHETER arterial EMBOLIZATION HEMOTHORAX
• 年，卷（期）: 2013,（2）
• 页码范围: 45-48
• 页数: 4页
• 分类号: R735.7

摘要

Hemothorax due to rupture of metastatic hepatocellular carcinoma (HCC) is a very rare complication with high mortality because of uncontrollable hemorrhage. A 71-year-old man treated by transcatheter arterial embolization for HCC with massive bleeding from chest wall metastasis is reported. Enhanced computed tomography and selective intercostal angiogram showed a hypervascular mass in the right chest wall and extravasation of contrast agent. After successful transcatheter arterial embolization with gelatin sponge particles and metallic coils, the patient recovered from shock without major complication. To our knowledge, a successfully treated case of hemothorax due to rupture of metastatic HCC has not previously been described.