Successful Transcatheter Arterial Embolization for Hemothorax from a Spontaneous Rupture of Hepatocellular Carcinoma Metastasis to the Chest Wall in an Elderly Patient

被引：6
|
作者：
Suoh, Maito [1 ]
Hagihara, Atsushi [1 ]
Kageyama, Ken [2 ]
Yamamoto, Akira [2 ]
Enomoto, Masaru [1 ]
Tamori, Akihiro [1 ]
Kawada, Norifumi [1 ]
机构：
[1] Osaka City Univ, Grad Sch Med, Dept Hepatol, Osaka, Japan
[2] Osaka City Univ, Grad Sch Med, Dept Diagnost & Intervent Radiol, Osaka, Japan
来源：
INTERNAL MEDICINE | 2021年 / 60卷 / 14期
关键词：
hepatocellular carcinoma; chest wall metastasis; spontaneous rupture; hemothorax; transcatheter arterial embolization; EXTRAHEPATIC METASTASIS; CLINICAL-FEATURES;
D O I：
10.2169/internalmedicine.6003-20
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
An 87-year-old man with hepatocellular carcinoma (HCC) presented with right-sided chest pain. Computed tomography revealed right bloody pleural effusion and an extravasation from an arterially enhanced mass in the right seventh posterior intercostal space. These findings indicated hemothorax from a rupture of HCC metastasis to the chest wall. Angiography of the intercostal arteries confirmed a hypervascular tumor, and transcatheter arterial embolization resulted in hemostasis. He was discharged with palliative care and remains alive after 9 months. Although hemothorax represents an unusual, life-threatening complication of HCC, our case suggests that transcatheter treatment can achieve hemostasis and a favorable survival even in elderly patients.
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收藏
页码：2223 / 2228
页数：6
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