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CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 3/2010

01-06-2010 | Case Report

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

Authors: Miho Okuda, Shiro Miyayama, Masashi Yamashiro, Yuichi Yoshie, Natsuki Sugimori, Saya Igarashi, Yoshiko Nakashima, Taku Sanada, Shotaro Kosaka, Daishu Toya, Osamu Matsui

Published in: CardioVascular and Interventional Radiology | Issue 3/2010

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Abstract

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.
Literature
1.
Lin TY (1976) Tumors of the liver. In: Bockus HL (ed) Gastroenterology. WB Saunders, Philadelphia, pp 522–533
2.
Kojiro M, Kawabata K, Kawano Y, Shirai F, Takemoto N, Nakashima T (1982) Hepatocellular carcinoma presenting as intrabile duct tumor growth: a clinicopathologic study of 24 cases. Cancer 49:2144–2147CrossRefPubMed
3.
Kitagawa K, Yamakado K, Nakatsuka A, Tanaka N, Fujii A, Takano K et al (1999) Selective transcatheter hepatic arterial chemoembolization for hemobilia from hepatocellular carcinoma: report of three cases. J Vasc Interv Radiol 10:1357–1360CrossRefPubMed
4.
Chen MF, Jan YY, Jeng LB, Hwang TL, Wang CS, Chen SC (1994) Obstructive jaundice secondary to ruptured hepatocellular carcinoma into the common bile duct. Surgical experiences of 20 cases. Cancer 73:1335–1340CrossRefPubMed
5.
Lau WY, Leung JW, Li AK (1990) Management of hepatocellular carcinoma presenting as obstructive jaundice. Am J Surg 160:280–282CrossRefPubMed
6.
Tsuzuki T, Ogata Y, Iida S, Kasajima M, Takahashi S (1979) Hepatoma with obstructive jaundice due to the migration of a tumor mass in the biliary tract: report of a successful resection. Surgery 85:593–598PubMed
7.
Hiraki T, Sakurai J, Gobara H, Kawamoto H, Mukai T, Hase S et al (2006) Sloughing of intraductal tumor thrombus of hepatocellular carcinoma after transcatheter chemoembolization causing obstructive jaundice and acute pancreatitis. J Vasc Interv Radiol 17:583–585CrossRefPubMed
8.
Yamamoto T, Sakamoto M, Ozawa T, Watanabe H, Nishida H, Mitamura K (2001) A case of hepatocellular carcinoma complicated with bile duct tumor thrombus removed by endoscopic catheter insertion after treatment of portal venous tumor thrombus [in Japanese]. Liver Cancer 1:99–104
9.
Okazaki M, Higashihara H, Koganemaru F, Nakamura T, Kitsuki H, Hoashi T et al (1991) Intraperitoneal hemorrhage from hepatocellular carcinoma: emergency chemoembolization or embolization. Radiology 180:647–651PubMed
Metadata
Title
Sloughing of Intraductal Tumor Thrombus of Hepatocellular Carcinoma After Transcatheter Arterial Chemoembolization
Authors
Miho Okuda
Shiro Miyayama
Masashi Yamashiro
Yuichi Yoshie
Natsuki Sugimori
Saya Igarashi
Yoshiko Nakashima
Taku Sanada
Shotaro Kosaka
Daishu Toya
Osamu Matsui
Publication date
01-06-2010
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 3/2010
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-009-9638-z

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