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Sloughing of Intraductal Tumor Thrombus of Hepatocellular Carcinoma After Transcatheter Arterial Chemoembolization

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Abstract

Transcatheter arterial chemoembolization (TACE) is effective for hepatocellular carcinoma (HCC) with intrabile duct thrombus. After TACE, intraductal tumor thrombi occasionally detach from the intrahepatic tumor and drop into the bottom of the common bile duct, causing clinical symptoms similar to the impaction of choledocholithiasis. The investigators describe three cases of sloughing of HCC intraductal tumor thrombi after selective TACE. In each of the three cases, the necrotic tumor cast was successfully removed endoscopically, and the patient’s symptoms were dramatically improved. Two patients survived without recurrence of the intraductal tumor thrombus for 8 and 11 months after TACE, respectively.

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Authors and Affiliations

  1. Department of Radiology, Fukuiken Saiseikai Hospital, 7-1 Funabashi, Wadanaka-cho, Fukui, 918-8503, Japan

    Miho Okuda, Shiro Miyayama, Masashi Yamashiro, Yuichi Yoshie, Natsuki Sugimori, Saya Igarashi & Yoshiko Nakashima

  2. Department of Internal Medicine, Fukuiken Saiseikai Hospital, 7-1 Funabashi, Wadanaka-cho, Fukui, 918-8503, Japan

    Taku Sanada, Shotaro Kosaka & Daishu Toya

  3. Department of Radiology, Kanazawa University Graduate School of Medical Science, 13-1 Takaramachi, Kanazawa, 920-8641, Japan

    Osamu Matsui

Authors
  1. Miho Okuda
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  2. Shiro Miyayama
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  3. Masashi Yamashiro
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  4. Yuichi Yoshie
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  5. Natsuki Sugimori
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  6. Saya Igarashi
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  7. Yoshiko Nakashima
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  8. Taku Sanada
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  9. Shotaro Kosaka
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  10. Daishu Toya
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  11. Osamu Matsui
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Corresponding author

Correspondence to Miho Okuda.

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Okuda, M., Miyayama, S., Yamashiro, M. et al. Sloughing of Intraductal Tumor Thrombus of Hepatocellular Carcinoma After Transcatheter Arterial Chemoembolization. Cardiovasc Intervent Radiol 33, 619–623 (2010). https://doi.org/10.1007/s00270-009-9638-z

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  • DOI: https://doi.org/10.1007/s00270-009-9638-z

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