Sloughing of Intraductal Tumor Thrombus of Hepatocellular Carcinoma After Transcatheter Arterial Chemoembolization

被引：11

作者：

Okuda, Miho ^{[1
]}

Miyayama, Shiro ^{[1
]}

Yamashiro, Masashi ^{[1
]}

Yoshie, Yuichi ^{[1
]}

Sugimori, Natsuki ^{[1
]}

Igarashi, Saya ^{[1
]}

Nakashima, Yoshiko ^{[1
]}

Sanada, Taku ^{[2
]}

Kosaka, Shotaro ^{[2
]}

Toya, Daishu ^{[2
]}

Matsui, Osamu ^{[3
]}

机构：

[1] Fukuiken Saiseikai Hosp, Dept Radiol, Wadanaka, Fukui 9188503, Japan

[2] Fukuiken Saiseikai Hosp, Dept Internal Med, Wadanaka, Fukui 9188503, Japan

[3] Kanazawa Univ, Grad Sch Med Sci, Dept Radiol, Kanazawa, Ishikawa 9208641, Japan

来源：

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | 2010年 / 33卷 / 03期

关键词：

Hepatocellular carcinoma; Intraductal tumor thrombus; Transcatheter arterial chemoembolization; Sloughing of tumor thrombus; OBSTRUCTIVE-JAUNDICE; BILE-DUCT;

D O I：

10.1007/s00270-009-9638-z

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Transcatheter arterial chemoembolization (TACE) is effective for hepatocellular carcinoma (HCC) with intrabile duct thrombus. After TACE, intraductal tumor thrombi occasionally detach from the intrahepatic tumor and drop into the bottom of the common bile duct, causing clinical symptoms similar to the impaction of choledocholithiasis. The investigators describe three cases of sloughing of HCC intraductal tumor thrombi after selective TACE. In each of the three cases, the necrotic tumor cast was successfully removed endoscopically, and the patient's symptoms were dramatically improved. Two patients survived without recurrence of the intraductal tumor thrombus for 8 and 11 months after TACE, respectively.

引用

页码：619 / 623

页数：5

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