Fatal Liver Abscess and Tumor Rupture after Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma

肝細胞癌經化學栓塞術治療後併發致命性肝膿瘍及腫瘤破裂：病例報告

吳樹鏗(Shu-Hang Ng) ； 張潤忠(Yun-Chung Cheung) ； 高常發(Sheung-Fat Ko) ； 黃浩輝(Ho-Fai Wong) ； 吳冠群(Koon-Kuan Ng) ； 萬永亮(Yung-Liang Wan) ； 陳肇長(Siu Cheng Chan)

《中華放射線醫學雜誌》 26卷6期 (2001/12) Pp. 275-278

摘要

我們報告一64歲糖尿病男性病人罹患巨大肝細胞癌，位於肝右葉邊緣且併有局部門靜脈阻塞，經只以半是量之化學栓塞劑的修正化學栓塞術治療後不久便發生致命性肝膿瘍瘍，我們認為即使以修正技巧做化學栓塞術在此情況仍具危險性。

關鍵字

肝細胞癌 ； 化學栓塞術 ； 併發症

並列摘要

A 64-year-old diabetic male patient with a large hepatocellular carcinoma in the right lobe of the liver with immediate contiguity with liver surface and partial thrombosis of the right portal vein, developed fatal liver abscess shortly following transcatheter arterial chemoembolization with a reduced dose of chemoembolization mixture and no Gelfoam particles. We concluded that TACE in such circumstances may carry significant risk, even though the modified technique is employed.

並列關鍵字

hepatocellular carcinoma ； transcatheter arterial chemoembolization ； complication