Papel de la embolización selectiva intraarterial en los tumores hepáticos benignos

Puchol, M.D. Ferrer; Casado, Cristina La Parra; Araez, Alicia Cervera; Lopez, R.; Hernández, E. Esteban; Mira, Antonio; Gandia, R. Ramiro

doi:10.1016/j.rx.2017.04.007

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2019

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“…Resection of lesions larger than 5 cm is advised due to the risk of hemorrhage or malignant transformation [4] , [6] . Current case studies have shown that intra-arterial embolization (AE) provides a favorable option for perioperative management of HAs and is considered safe for elective management of HAs [7] , [8] .…”

Section: Introductionmentioning

confidence: 99%

Massive hepatic adenoma response to bland embolization: A case study

Sinkler

Bosley

2019

Radiology Case Reports

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Hepatic adenomas are rare, benign liver masses of rising incidence in the United States. We present a report of a 22-year-old asymptomatic female with a massive (14.2 × 11.4 cm), centrally located hepatic adenoma. The unique presentation of the adenoma in close proximity to the hepatic vasculature meant the patient was not a candidate for surgical resection. An arterial embolization was used as an alternative approach to initial treatment. Arterial branches supplying the adenoma were identified via computed tomography and embolized with embospheres and coils. The treatment resulted in a large reduction in size and density of the adenoma identified at a 1-month follow-up. The case supports further use of arterial embolization as an initial treatment for large adenomas to improve the outcome of subsequent surgical approaches.

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