Document Detail

Rapid intrahepatic tumor seeding after percutaneous ethanol injection therapy for hepatocellular carcinoma.
MedLine Citation:
PMID:  18310972     Owner:  NLM     Status:  MEDLINE    
A 73-year-old man with hepatocellular carcinoma (HCC) had been treated repeatedly with transcatheter arterial embolization (TAE) and percutaneous ethanol injection therapy (PEIT) since 2000. HCC recurrence near the intrahepatic left portal vein was treated by PEIT in 2004. The patient complained of fatigue and upper abdominal pain 28 days later. Abdominocentesis and abdominal computed tomography demonstrated rupture of the recurrent HCC and multiple intrahepatic recurrences. We successfully performed emergency TAE, but the patient died of liver failure. Rapid seeding of multiple intrahepatic tumors after PEIT is a rare event, but such a possibility must be kept in mind.
Hiroto Tanaka; Hiroki Ueda; Yohei Kida; Hiroko Fukuchi; Masakazu Ichinose
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-03-03
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  47     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2008  
Date Detail:
Created Date:  2008-03-03     Completed Date:  2008-03-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  411-4     Citation Subset:  IM    
The Third Department of Internal Medicine, Wakayama Medical University.
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MeSH Terms
Administration, Cutaneous
Antineoplastic Agents / administration & dosage,  adverse effects*
Carcinoma, Hepatocellular / drug therapy*
Chemoembolization, Therapeutic / adverse effects*,  methods
Ethanol / administration & dosage,  adverse effects*
Fatal Outcome
Liver Neoplasms / drug therapy*
Magnetic Resonance Imaging, Interventional
Neoplasm Recurrence, Local / drug therapy,  etiology*
Reg. No./Substance:
0/Antineoplastic Agents; 64-17-5/Ethanol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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