دورية أكاديمية
Spontaneous Rupture of Renal Metastasis from Hepatocellular Carcinoma
| العنوان: | Spontaneous Rupture of Renal Metastasis from Hepatocellular Carcinoma |
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| المؤلفون: | Osamu Kinoshita, Yusuke Ichijo, Masayuki Yoneda, Atsushi Ikai, Tetsuro Yamashita |
| المصدر: | Case Reports in Surgery, Vol 2017 (2017) |
| بيانات النشر: | Wiley, 2017. |
| سنة النشر: | 2017 |
| المجموعة: | LCC:Surgery |
| مصطلحات موضوعية: | Surgery, RD1-811 |
| الوصف: | We report a rare life-threatening case of spontaneous rupture of renal metastasis from hepatocellular carcinoma (HCC) that was managed by emergent transcatheter arterial embolization (TAE). A 76-year-old woman diagnosed with HCC presented with acute back pain in her right side and was transferred to our hospital. Initial enhanced computed tomography revealed retroperitoneal hemorrhage from the right kidney, which was retrospectively diagnosed as a spontaneous rupture of the metastatic renal tumor from the primary HCC. Detailed examination identified an active retroperitoneal hemorrhage from the lesion and the patient’s condition became hemodynamically unstable; hence emergent TAE was performed. The hospitalization period after the TAE was uneventful and sorafenib was subsequently administered. Unfortunately, two months after the TAE, the tumor locally progressed within the retroperitoneal space. Tumors were controlled by repeated TAE as the patient did not want to undergo a nephrectomy. Consequently, she survived for more than one year after emergent TAE, exhibiting low levels of tumor marker. After rupture of the metastatic renal HCC, tumors were expected to progress into the retroperitoneal space, and nephrectomy was the next possible radical treatment to offer the best chance of long-term disease control. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2090-6900 2090-6919 |
| Relation: | https://doaj.org/toc/2090-6900; https://doaj.org/toc/2090-6919 |
| DOI: | 10.1155/2017/8607061 |
| URL الوصول: | https://doaj.org/article/bac3168efea84d6ba4f119630097fa93 |
| رقم الأكسشن: | edsdoj.bac3168efea84d6ba4f119630097fa93 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 20906900 20906919 |
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| DOI: | 10.1155/2017/8607061 |