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ID 49037
フルテキストURL
著者
Kanzaki, Hiromitsu
Nouso, Kazuhiro Okayama Univ
Miyahara, Koji
Kajikawa, Naoko
Kobayashi, Sayo
Sakakihara, Ichiro
Iwadow, Shota
Uematsu, Shuji
Okamoto, Ryoichi
Shiraga, Kunihiro
Mizuno, Motowo
Araki, Yasuyuki
抄録
Introduction Transcatheter arterial chemoembolization has been widely used to treat advanced hepatocellular carcinoma that cannot be treated by local ablation therapies or surgical resection. The effectiveness of transcatheter arterial chemoembolization in prolonging survival has been well established, and approximately one third of newly discovered hepatocellular carcinoma patients were repeatedly treated by transcatheter arterial chemoembolization in Japan. Various kinds of complications have been reported, and many of which are general complications such as hepatic coma, jaundice, fever-up, ascites, and bile duct injury. The hepatic falciform artery is found frequently during postmortem anatomic dissection and the incidence of hepatic falciform artery is reported to be over 60%. Hepatic falciform artery is known to be the responsible artery for supraumbilical skin rash development after arterial chemo infusion therapy; however, skin complications after transcatheter arterial chemoembolization are rare. Case presentation A 70-year-old female with chronic hepatitis C infection was diagnosed as having hepatocellular carcinoma (S4, 20 mm in diameter). Transcatheter arterial chemoembolization was performed via the left hepatic artery, which was a feeding artery of the hepatocellular carcinoma. Two days after that, supraumbilical skin rash with local tenderness and redness appeared. Retrospective analysis revealed that occlusion of the hepatic falciform artery branching from the left hepatic artery with micromaterials caused the skin lesion. Conclusion We should keep in mind that anticancer drugs or embolic materials can flow into the HFA and may cause abdominal wall injury after transcatheter arterial chemoembolization.
発行日
2009-09-01
出版物タイトル
Cases Journal
2巻
出版者
Cases Network Ltd.
資料タイプ
学術雑誌論文
オフィシャル URL
http://dx.doi.org/10.4076/1757-1626-2-7197
言語
English
著作権者
© 2009 Kanzaki et al.; licensee Cases Network Ltd.
論文のバージョン
publisher
査読
有り
DOI
PubMed ID