Excretion of necrotic hepatocellular carcinoma tissues into the biliary system after transcatheter arterial chemoembolization

Miyayama, Shiro; Yamashiro, Masashi; Nagai, Kazuyuki; Yokka, Akira; Yoshida, Midori; Sakuragawa, Naoko; Sanada, Tetsuya; Notsumata, Kazuo

doi:10.1111/hepr.12880

Cited by 3 publications

(1 citation statement)

References 13 publications

(17 reference statements)

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“…Necrotic tumor tissues are slowly absorbed and eliminated, and the tumor gradually decreases in size [2]. Occasionally, necrotic tumor tissues adjacent to a large bile duct are excreted into the biliary system and are visualized as high-density materials in the bile duct on computed tomography (CT) [3].…”

Section: Introductionmentioning

confidence: 99%

Excretion of Necrotic Hepatocellular Carcinoma Tissues into Hepatic Lymphatic Vessels after Conventional Transarterial Chemoembolization

Miyayama

Yamashiro

Ikeda

et al. 2021

Interventional Radiology

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We report a case of necrotic hepatocellular carcinoma tissue excretion into the hepatic lymphatic system after conventional transarterial chemoembolization (cTACE) in an 80-year-old man with liver cirrhosis. A tumor measuring 19 mm in diameter in segment 5 was successfully treated with superselective cTACE. Hepatic lymphatic vessels were not opacified with iodized oil during the procedure. Computed tomography (CT) performed 1 week after cTACE showed dense accumulation of iodized oil in the tumor and in the surrounding liver without opacification of the hepatic lymphatics. Excretion of necrotic tumor tissues containing iodized oil into the lymphatic system was initially observed on CT 9 months after cTACE and the amount of excreted tumor tissues had increased 2 years and 2 months after cTACE without tumor recurrence or any clinical symptoms.

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Section: Introductionmentioning

confidence: 99%

Excretion of Necrotic Hepatocellular Carcinoma Tissues into Hepatic Lymphatic Vessels after Conventional Transarterial Chemoembolization

Miyayama

Yamashiro

Ikeda

et al. 2021

Interventional Radiology

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Post-embolization syndrome-like symptoms due to shedding of necrotic material of hepatocellular carcinoma into the bile duct following transcatheter arterial chemoembolization: an instructive case

Kobori,

Masaoka,

Maeda

et al. 2024

Clin J Gastroenterol

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Obstructive Jaundice Following Transarterial Chemoembolization for Hepatocellular Carcinoma with Bile Duct Invasion

Matsushita

Kageyama

Kameda

et al. 2021

Journal of Clinical Interventional Radiology ISVIR

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Hepatocellular carcinoma (HCC) with bile duct invasion is considered rare. A case in which a fragment of intraductal tumor dropped into the common bile duct after transarterial chemoembolization (TACE) and caused abdominal pain, and obstructive jaundice secondary to biliary obstruction is presented. This case was successfully managed by emergent endoscopic sphincterotomy. Physicians should recognize one of the complications due to TACE for HCC with intraductal tumor invasion.

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Excretion of necrotic hepatocellular carcinoma tissues into the biliary system after transcatheter arterial chemoembolization

Abstract: Excretion of necrotic tumors into the biliary system after TACE was not rare in patients with centrally located HCC >5 cm. The detached tumor rarely caused symptoms and the communication between the tumor and bile duct caused the infection of tumors.

Cited by 3 publications

References 13 publications

Excretion of Necrotic Hepatocellular Carcinoma Tissues into Hepatic Lymphatic Vessels after Conventional Transarterial Chemoembolization

Excretion of Necrotic Hepatocellular Carcinoma Tissues into Hepatic Lymphatic Vessels after Conventional Transarterial Chemoembolization

Post-embolization syndrome-like symptoms due to shedding of necrotic material of hepatocellular carcinoma into the bile duct following transcatheter arterial chemoembolization: an instructive case

Obstructive Jaundice Following Transarterial Chemoembolization for Hepatocellular Carcinoma with Bile Duct Invasion

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