Abstract
We report herein the case of a 69-year-old woman in whom a hepatic tumorous necrotic lesion was discovered following transcatheter arterial embolization combined with iodized oil infusion (Lp-TAE) for a hepatoma. The lesion, which had not been evident prior to the Lp-TAE, was resected and analyzed pathologically. The portal area distribution in the necrotic lesion was the same as that in the surrounding hepatic tissue, suggesting that the lesion was derived from the nonneoplastic hepatic tissue. Moreover, extensive wall thickening and obstruction were observed in the intrahepatic portal vein and hepatic artery. These findings suggest that the lesion was a focus of hepatic infarction triggered by Lp-TAE.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Nakamura H, Hashimoto T, Oi H, Sawada S (1989) Transcatheter oily chemoembolization of hepatocelullar carcinoma. Radiology 170:783–786
Nakamura H, Hashimoto T, Oi H, Sawada S (1988) Iodized oil in the portal vein after arterial embolization. Radiology 167:415–417
Miller DL, O'Leary TJ, Girton M (1987) Distribution of iodized oil within the liver after hepatic arterial injection. Radiology 162:849–852
Bookstein JJ, Cho KJ, Davis GB, Dail DD (1982) Arterioportal communications. Radiology 142:581–590
Matsuo N, Uchida H, Soda S, Ohshima M, Nakano H, Ohishi H, Nagano N, Kitamura I, Nishimura Y, Nishimine K, Yoshioka T (1990) Histopathological study of the resected specimens after segmental Lp-TAE using lipiodol mixed with anticancer agent for hepatocellular carcinoma (in Japanese with English abstract). Kanzo (Acta Hepatol Japon) 31:1084–1093
Ohishi H, Uchida H, Yoshimura H, Ohue S, Ueda J, Katsuragi M, Matsuo N, Hosogi Y (1985) Hepatocellular carcinoma detected by iodized oil. Use of anticancer agents. Radiology 154:25–29
Yumoto Y, Jinno K, Tokuyama K, Araki Y, Ishimitsu T, Maeda H, Konno T, Iwamoto S, Ohnishi K, Okuda K (1985) Hepatocellular carcinoma detected by iodized oil. Radiology 154:19–24
Nakashima O, Watanabe J, Tagushi H, Okudaira S, Nakashima Y, Yasunaga M, Iha H, Kojiro M, Tanaka M, Majima Y, Tanikawa K, Taniwaki S, Saitsu H, Nakayana T (1994) Clinicopathologic study on necrotic nodules in the liver (in Japanese with English abstract). Kanzo (Acta Hepatol Japon) 35:527–535
Nosaka T, Goseki N, Aoi T, Gen T, Kato S, Kobori Y, Endo M (1994) Three cases of tumorous necrotic lesion of the liver (in Japanese with English abstract). Nippon Shokakibyo Gakkai Zasshi (Jpn J Gastroenterol) 91:109–114
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Hirota, M., Arakawa, M., Shigaki, N. et al. Development of a de novo tumorous necrotic lesion in the liver after transcatheter arterial embolization combined with iodized oil infusion: Report of a case. Surg Today 26, 49–52 (1996). https://doi.org/10.1007/BF00311992
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00311992