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

被引：7

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.

引用

页码：2223 / 2228

页数：6

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